Nicole Paxson Flower, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901016819 Issued in MI

Practice address

2919 Court St
Saginaw, MI 48602-3672

Phone

(989) 793-8650

Fax

(989) 793-2400

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1083747737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 COURT ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023672",
            "telephone_number": "989-793-8650",
            "fax_number": "989-793-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 COURT ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023672",
            "telephone_number": "989-793-8650",
            "fax_number": "989-793-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOWER",
        "first_name": "NICOLE",
        "middle_name": "PAXSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-04-14",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "383546105",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.