Individual provider Active NPI

Shannon Megan Dave, MD

  • Family Medicine Physician
  • Aventura, FL
National Provider Identifier
1780176859
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME160708 Issued in FL
Practice address
2820 NE 214TH St Ste 801
Aventura, FL 33180-1269
Phone
(888) 803-3370
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME160708 FL Primary
Family Medicine Physician 207Q00000X 33921 OK

Addresses

Primary practice location

2820 NE 214TH St Ste 801
Aventura, FL 33180-1269

Mailing address

2602 NW Lake Front Dr
Lawton, OK 73505-1252
Phone (888) 803-3370

Other practice location 1

400 N Tampa St Fl 15
Tampa, FL 33602-4730
Phone (888) 803-3370

Other practice location 2

1990 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 527-6888

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713003816 FL Practitioner - Pediatric Medicine 2769722701 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME160708FLMDFamily Medicine Physician
33921OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care Group PA Family Medicine CurrentSince Jul 27, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877

400 N Tampa St
Fl 15
Tampa, FL 33602
Phone (844) 435-6833

Interoperability endpoints

  • Direct secure messaging: sdave29899@ouhealth.direct-ci.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1780176859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 NW LAKE FRONT DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735051252",
            "telephone_number": "888-803-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NE 214TH ST STE 801",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801269",
            "telephone_number": "888-803-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Tampa St Fl 15",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336024730",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 N Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Lecanto",
            "state": "FL",
            "postal_code": "344619792",
            "country_code": "US",
            "telephone_number": "352-527-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVE",
        "first_name": "SHANNON",
        "middle_name": "MEGAN",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME160708",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "33921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.