Patricia Flores, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12014442A Issued in IN

Practice address

980 N Broadway
Peru, IN 46970-1021

Phone

(765) 473-0141

NPI assigned

Jan 12, 2024

Last updated

May 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Ladd Dental Group of Peru, P.C.

  • General Practice Dentistry
  • Peru, IN
  • NPI 1093017907
  NPD (past)
• Ladd Dental Group of Wabash, P.C.

  • General Practice Dentistry
  • Wabash, IN
  • NPI 1134496060
  NPD (past)

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1073384509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N BROADWAY",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701021",
            "telephone_number": "765-473-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N BROADWAY",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701021",
            "telephone_number": "765-473-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1903 Alber St",
            "address_purpose": "LOCATION",
            "city": "Wabash",
            "state": "IN",
            "postal_code": "469921045",
            "country_code": "US",
            "telephone_number": "260-225-0527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "PATRICIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014442A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Epp, DO
• Katina A Everding, NP
• Eye Physicians Inc
• Rafik Farag, MD
• Margaret Farley Farley, LMHC
• Bethany Foerg, LMFTA
• Emily Renee Foley, PHARMD
• Tanya Fondekar
• Fort Wayne Orthopedics, LLC
• Four County Comprehensive Mental Health Center Inc (4C Health)

• Dentist in Peru, IN
• Providers in Peru, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.