NPIMap

Organization Active NPI

Alan D. Shoopak, D.M.D., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sarasota, FL
National Provider Identifier
1760997175
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN9319 Issued in FL
Legal business name
ALAN D. SHOOPAK, D.M.D., P.A.
Practice address
1626 Ringling Blvd Ste 500
Sarasota, FL 34236-6830
Phone
(727) 522-5599
NPI assigned
Dec 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alan David Shoopak
Title
President
Phone
(727) 522-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X DN9319 FL Primary

Addresses

Primary practice location

1626 Ringling Blvd Ste 500
Sarasota, FL 34236-6830

Mailing address

6311 4TH St N
St Petersburg, FL 33702-7511
Phone (727) 522-5599

Other names 1

  • Orthodontic Specialists of Florida Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alan D Shoopak DMD PA10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1626 Ringling Blvd
Ste 500
Sarasota, FL 34236
Phone (727) 522-5599

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1760997175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337027511",
            "telephone_number": "727-522-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 RINGLING BLVD STE 500",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342366830",
            "telephone_number": "727-522-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN D. SHOOPAK, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "SHOOPAK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-522-5599"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN9319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Specialists of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.