David O Flack, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9897 Issued in CO

Practice address

5035 S Kipling Pkwy
Ste B-2
Littleton, CO 80127-7931

Phone

(614) 738-1035

NPI assigned

Apr 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dof Dental, PLLC

  • General Practice Dentistry
  • Littleton, CO
  • NPI 1659736759
  NPD (past) Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1063636686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 S KIPLING PKWY",
            "address_2": "STE B-2",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801277931",
            "telephone_number": "614-738-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 S KIPLING PKWY",
            "address_2": "STE B-2",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801277931",
            "telephone_number": "614-738-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLACK",
        "first_name": "DAVID",
        "middle_name": "O",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9897",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "022402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2671998",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fit Physical Therapy Prof LLC (FYZICAL Therapy & Balance Centers)
• Lori A Fitzgibbons, PAC
• Maureen Theresa Fitzpatrick, MS OTR/L
• Five Star Quality Care-Colorado LLC (Cherrelyn Healthcare Center)
• Five Star Quality Care-Colorado LLC (Cherrelyn Healthcare Center)
• Marcie Ahman Flack, D.D.S.
• Mary Katherine Flack
• Catherine Flanagan
• James Flauding, NP-C
• John Flauding, NP

• Dentist in Littleton, CO
• Providers in Littleton, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.