ALAN D SHOOPAK DMD ORTHODONTIC GROUP IX, LLC (NPI# 1023143922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023143922 |
| Entity Type | Organization |
| Organization Name | ALAN D SHOOPAK DMD ORTHODONTIC GROUP IX, LLC |
| Other Organization Name | ORTHODONTIC SPECIALISTS OF FLORIDA |
| Practice Address |
1670 Eagle Harbor Pkwy Ste. A Orange Park FL 32003-4806 |
| Mailing Address |
6311 4th St N St Petersburg FL 33702-7511 |
| Practice Telephone | 9042641555 |
| Practice Fax Number | 9042641525 |
| Mailing Telephone | 7275225599 |
| Mailing Fax Number | 7275261702 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2015-10-16 |
| Authorized Official Name | DR. ALAN D. SHOOPAK (OWNER) |
| 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 |
FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Orthodontic Specialists of Florida | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083749063 | Alan D Shoopak Dmd Orthodontic Group Ix, LLC | Dentist | 7751 Baymeadows Rd E Ste 108, Jacksonville, FL 32256-5836 | 2007-02-22 |
| Street Address |
1670 EAGLE HARBOR PKWY STE. A |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32003-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457428005 | Fleming Island Surgery Center | Clinic/Center | 1670 Eagle Harbor Pkwy, Suite B, Orange Park, FL 32003-4806 | 2006-11-29 |
| 1487945895 | Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1670 Eagle Harbor Pkwy, Orange Park, FL 32003-4820 | 2011-04-20 |
| 1154627107 | Natallia Michailovna Baldev | Nurse Anesthetist, Certified Registered | 1670 Eagle Harbor Pkwy, #b, Orange Park, FL 32003-4820 | 2011-02-08 |
| 1386893030 | Martha Seneca | Nurse Practitioner | 1670 Eagle Harbor Pkwy, Orange Park, FL 32003-4820 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| 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 |
|---|---|---|---|---|
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1063811644 | Thomas Levier Gardner | Dentist | 518 Hollyberry Ln Ste 105, Orange Park, FL 32065-5290 | 2014-08-19 |
| 1770847873 | Derek Adam Hoffman | Dentist | 1406 Kingsley Ave Ste B, Orange Park, FL 32073-4528 | 2012-07-03 |
| 1699821074 | Jossette Trinh Vo | Dentist | 5000 Us Highway 17 Ste 4, Orange Park, FL 32003-8237 | 2007-01-26 |
| 1942354386 | John P Peden | Dentist | 1406 Kingsley Avenue, Orange Park, FL 32073 | 2007-01-23 |
| 1023127370 | Robert P Fields | Dentist | 2580 Country Side Dr, Orange Park, FL 32003-4949 | 2006-08-30 |
| 1184637571 | Andrew Burford Brown | Dentist | 2217 Kingsley Ave, Orange Park, FL 32073-5115 | 2006-08-15 |
| 1487149290 | Family Orthodontics of Florida, Pllc | Dentist | 2217 Kingsley Ave, Orange Park, FL 32073-5115 | 2018-06-25 |
| 1124402912 | Hoffman Orthodontics Pa | Dentist | 1406 Kingsley Ave, Ste B, Orange Park, FL 32073-4590 | 2015-07-13 |
| 1225447493 | Julia Lipkin | Dentist | 1340 Blanding Blvd Ste 108, Orange Park, FL 32065-8052 | 2014-08-12 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32003 |
Please comment or provide details below to improve the information on ALAN D SHOOPAK DMD ORTHODONTIC GROUP IX, LLC.
| 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.