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DR. ALAN DAVID SHOOPAK D.M.D.P.A. NPI 1205974458


NPI Information

NPI: 1205974458
Provider Name: DR. ALAN DAVID SHOOPAK, D.M.D.,P.A.
Classification: Dentist - 1223X0400X
Entity Type: Individual

Specialization: Orthodontics and Dentofacial Orthopedics

PECOS Registration: Yes

Address:
6311 4TH ST N
ST PETERSBURG, FL
ZIP 33702
Phone: (727) 522-5599
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DR. Alan David Shoopak, D.M.D.,P.A. is an orthodontics and dentofacial orthopedics dentist in St Petersburg, FL. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. DR. Alan David Shoopak, D.M.D.,P.A. NPI is 1205974458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6311 4TH ST N
ST PETERSBURG, FL
ZIP 33702-511
Phone: (727) 522-5599
Fax: (727) 526-1702

The NPI 1205974458 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/1/2007 and was last updated on 10/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsDN9319FLORIDAYes
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsDN15199MASSACHUSETTSNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1075690300MEDICAIDFLORIDA
2110010278AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.