NPIMap

Organization Active NPI

Alan D Shoopak DMD Orthodontic Group VII LLC

Doing business as Orthodontic Specialists of Florida

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakeland, FL
National Provider Identifier
1891830071
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ALAN D SHOOPAK DMD ORTHODONTIC GROUP VII LLC
Doing business as
Orthodontic Specialists of Florida
Practice address
4740 Cleveland Heights Blvd
Suite 4
Lakeland, FL 33813-2187
Phone
(863) 644-0060
Fax
(863) 648-9232
NPI assigned
Feb 21, 2007
Last updated
Oct 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Dr. Alan D. Shoopak, D.M.D.NPI 1205974458
Title
Owner
Phone
(727) 522-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X FL Primary

Addresses

Primary practice location

4740 Cleveland Heights Blvd
Suite 4
Lakeland, FL 33813-2187

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 Orthodontic Group VII LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4740 Cleveland Heights Blvd
Ste 4
Lakeland, FL 33813
Phone (863) 644-0060

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1891830071",
    "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",
            "fax_number": "727-526-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 CLEVELAND HEIGHTS BLVD",
            "address_2": "SUITE 4",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132187",
            "telephone_number": "863-644-0060",
            "fax_number": "863-648-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN D SHOOPAK DMD ORTHODONTIC GROUP VII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "SHOOPAK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-522-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Specialists of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.