Individual provider Active NPI

Shawn Raymond Norris, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Boca Raton, FL
National Provider Identifier
1770816860
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3549 Issued in FL
Practice address
1601 Clint Moore Rd
Ste. 130
Boca Raton, FL 33487-2768
Phone
(561) 939-0974
NPI assigned
Sep 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3549 FL Primary

Addresses

Primary practice location

1601 Clint Moore Rd
Ste. 130
Boca Raton, FL 33487-2768

Mailing address

1601 Clint Moore Rd
Ste. 130
Boca Raton, FL 33487-2768
Phone (561) 939-0974

Other identifiers 1

IdentifierTypeStateIssuer
005576100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120808000846 FL Practitioner - Podiatry 6800042706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Certified Foot and Ankle SpecialistsGroup PAC ID 7214080282, 12 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

21679 State Rd
Suite 7
Boca Raton, FL 33428-1812
Phone (561) 482-3338

4879 Coconut Creek Pkwy
Coconut Creek, FL 33063-3944
Phone (954) 979-0505

7015 Beracasa Way
Cora Physical Therapy W Boca Raton
Boca Raton, FL 33433-3453
Phone (561) 939-2033

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions49
Removal of nail tissue288
Removal or shaving of skin growth25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3549FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Certified Foot & Ankle Specialists Foot & Ankle Surgery CurrentSince Jul 30, 2012 Accepting new patients
Norris & Dabul Foot & Ankle, PA Foot & Ankle Surgery CurrentSince Oct 27, 2025 Accepting new patients
Certified Foot & Ankle Specialists Foot & Ankle Surgery CurrentSince Jul 30, 2012 Accepting new patients
Norris & Dabul Foot & Ankle, PA Foot & Ankle Surgery Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 130
Boca Raton, FL 33487
Phone (561) 251-9099

1601 Clint Moore Rd
Ste 180
Boca Raton, FL 33487
Phone (561) 939-0600

21679 State Road 7
Boca Raton, FL 33428
Phone (561) 482-3338

7730 W Boynton Beach Blvd
Ste 7
Boynton Beach, FL 33437
Phone (561) 369-2199

4879 Coconut Creek Pkwy
Coconut Creek, FL 33063
Phone (954) 895-1222

817 Coral Ridge Dr
Coral Springs, FL 33071
Phone (954) 753-3030

7620 Margate Blvd
Margate, FL 33063
Phone (954) 482-3338

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1770816860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "STE. 130",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-939-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "STE. 130",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-939-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "SHAWN",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-08",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005576100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.