Daniel Shoop, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE 60456163 Issued in WA

Practice address

12165 Pacific Ave S
Tacoma, WA 98444-5124

Phone

(253) 537-4011

NPI assigned

Jul 8, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Daniel Shoop DDS PLLC

  • Dentist
  • Federal Way, WA
  • NPI 1063360006
  NPD Authorized official

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1952717209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12165 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445124",
            "telephone_number": "253-537-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12165 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445124",
            "telephone_number": "253-537-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOP",
        "first_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60456163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Shivers
• Trisha Shivers
• Frances Shoaga
• Rachel Nalty Shober, MD
• Katelynn Sue Shoecraft, LMT
• Abigail K. Shoquist, PSY.D.
• Mary Elizabeth Shores, PHYSICAL THERAPIST
• Liam Thomas Clarke Shorrock, MD
• John P Short, M.D.
• Rijesh Raj Shrestha, M.D.

• Dentist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.