Organization Active NPI

Alan F. Shader, D.P.M

  • Non-Pharmacy Dispensing Site
  • Hialeah, FL
National Provider Identifier
1871802033
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
ALAN F. SHADER, D.P.M
Practice address
755 E 49TH St
Hialeah, FL 33013-1907
Phone
(305) 681-2600
NPI assigned
Oct 5, 2010
Organization subpart
Yes
Parent organization
ALAN F. SHADER, D.P.MAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Alan F. Shader, D.P.M.
Title
Medical Director
Phone
(305) 681-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

755 E 49TH St
Hialeah, FL 33013-1907

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Part of
Mohanad a Eltahir DPM PA

Locations

755 E 49th St
Hialeah, FL 33013
Phone (305) 681-2600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1871802033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131907",
            "telephone_number": "305-681-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN F. SHADER, D.P.M",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALAN F. SHADER, D.P.M",
        "enumeration_date": "2010-10-05",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "SHADER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-681-2600",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.