ALAN D. SHOOPAK, D.M.D., ORTHODONTIC GROUP II, LLC (NPI# 1679088082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679088082 |
| Entity Type | Organization |
| Organization Name | ALAN D. SHOOPAK, D.M.D., ORTHODONTIC GROUP II, LLC |
| Other Organization Name | ORTHODONTIC SPECIALISTS OF FLORIDA |
| Practice Address |
1590 Nw 10th Ave Unit 3020 Boca Raton FL 33486-1313 |
| Mailing Address |
6311 4th St N St Petersburg FL 33702-7511 |
| Practice Telephone | 7275225599 |
| Mailing Telephone | 7275225599 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| Authorized Official Name | ALAN DAVID SHOOPAK (PRESIDENT) |
| Authorized Official Telephone | 7275225599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN9319 | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Orthodontic Specialists of Florida | Doing Business As Name - Organization |
| Street Address |
1590 NW 10TH AVE UNIT 3020 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33486-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502800 | Med Supplies Rus LLC | Durable Medical Equipment & Medical Supplies | Med Supplies R Us, LLC, 1489 Pal Metto Park Rd., Suite 509 E, Boca Raton, FL 33486 | 2020-09-15 |
| 1235699547 | Ron N/a Goldwaser | Occupational Therapist | Boca Raton Rehabilitation Center, 755 Meadows Road, Boca Raton, FL 33486 | 2019-03-22 |
| 1982105516 | Noa Rivka Schwartz | Registered Nurse | 801 Meadows Rd Ste 120, Boca Raton, FL 33486 | 2018-02-28 |
| 1437663028 | Jasmine Fay Senatus | Physician Assistant | 5333 Town Center Road, Suite 402, Boca Raton, FL 33486 | 2017-11-19 |
| 1285160440 | Mary Lauderdale | Developmental Therapist | 836 Sw 9th St Circle, Boca Raton, FL 33486 | 2017-05-10 |
| 1932631827 | Boca Ri LLC | Psychiatric Residential Treatment Facility | 1000 Nw 15th St, Boca Raton, FL 33486 | 2017-03-30 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1528504354 | Megan M Lucas | Physician Assistant | 5458 Town Center Rd Ste 103, Boca Raton, FL 33486 | 2017-01-18 |
| 1962864280 | Annmarie Diazhernandez | Nurse Practitioner | 951 Nw 13 St Bl 5e, Boca Raton, FL 33486 | 2016-03-25 |
| 1689071078 | Djurdja Andrich | Nurse Practitioner | 1500 Nw 10th Ave #205, Boca Raton, FL 33486 | 2014-12-01 |
| Find all providers in zip 33486 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023466992 | Luiz Alexandre Barbosa | Dentist | 20423 State Road 7 Ste F18, Boca Raton, FL 33498-6795 | 2016-06-01 |
| 1215366828 | Arthur Kapit | Dentist | 21301 Powerline Rd Ste 208, Boca Raton, FL 33433-2390 | 2013-11-04 |
| 1891922746 | Feldon Tendler Orthodontics LLC | Dentist | 595 S Federal Hwy, Ste 130, Boca Raton, FL 33432-6011 | 2009-06-18 |
| 1508017633 | Minelle Marie Tendler | Dentist | 199 W Palmetto Park Rd Ste D, Boca Raton, FL 33432-3849 | 2008-10-07 |
| 1134379910 | Jennifer T Statler | Dentist | 7400 W Camino Real, Suite 110, Boca Raton, FL 33433-5513 | 2008-09-29 |
| 1750473088 | Taylor Orthodontic Specialists, P.a. | Dentist | 9181 Glades Rd, #120, Boca Raton, FL 33434-3942 | 2006-09-28 |
| 1487746384 | Barry I Matza | Dentist | 5100 Town Center Cir, Suite #106, Boca Raton, FL 33486-1049 | 2006-09-28 |
| 1508964263 | Brian P Cohen | Dentist | 9250 Glades Rd Ste 208, Boca Raton, FL 33434-3958 | 2006-09-20 |
| 1104374644 | Goldenberg Orthodontics, P.a. | Dentist | 9250 Glades Rd, Suite 208, Boca Raton, FL 33434-3958 | 2016-09-13 |
| 1346622826 | Marc Goldenberg | Dentist | 9250 Glades Rd Ste 208, Boca Raton, FL 33434-3958 | 2015-06-22 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33486 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.