DR. ALAN DAVID SHOOPAK D.M.D.,P.A.
NPI 1205974458
Dentist - Orthodontics and Dentofacial Orthopedics in St Petersburg, FL

Active since February 01, 2007Opted out of Medicare · through Apr 25, 2027
6311 4TH ST N, ST PETERSBURG, FL 33702(727) 522-5599(727) 526-1702 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alan David Shoopak D.m.d.,p.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALAN DAVID SHOOPAK D.M.D.,P.A. (NPI 1205974458) is an individual orthodontics and dentofacial orthopedics provider in St Petersburg, Florida, licensed in Florida (DN9319) and active in the NPI registry since February 2007. He has opted out of Medicare through April 25, 2027.

NPPES Registry Identity

NPI1205974458
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. ALAN DAVID SHOOPAKCredential: D.M.D.,P.A.
Location Address6311 4TH ST NSt Petersburg, FL 33702-7511
Mailing Address6311 4th St NSt Petersburg, FL 33702-7511 · (727) 522-5599
Fax(727) 526-1702
Sole ProprietorYes
Enumeration DateFebruary 1, 2007
Last NPPES UpdateOctober 6, 2017
NPI 1205974458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in FL · DN9319 Licensed in MA · DN15199
Definition
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.
6311 4TH ST N, St Petersburg, FL 33702

Other Identifiers 2

Medicaid075690300FL
Medicaid110010278AMA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Alan David Shoopak D.m.d.,p.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 25, 2017 through April 25, 2027.

Opt-Out Effective DateApril 25, 2017
Opt-Out In Effect ThroughApril 25, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
6311 4TH ST N
ST PETERSBURG, FL 33702
Dentist (Orthodontics and Dentofacial Orthopedics)
6311 4TH ST N
ST PETERSBURG, FL 33702
Dentist (Orthodontics and Dentofacial Orthopedics)
6311 4TH ST N
ST PETERSBURG, FL 33702
Dentist (General Practice)
6311 4TH ST N
ST PETERSBURG, FL 33702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alan Shoopak's NPI number?

The NPI number for Alan Shoopak is 1205974458. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Alan Shoopak located?

Alan Shoopak practices at 6311 4th St N, St Petersburg, FL 33702. The listed phone number is (727) 522-5599.

What is Alan Shoopak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Alan Shoopak enrolled in Medicare?

No. Alan Shoopak has opted out of Medicare through April 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Alan Shoopak accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Alan Shoopak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alan Shoopak was last updated on October 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.