Individual provider Active NPI

Renn Garrett Flinders, DMD

  • General Practice Dentistry
  • Springville, UT
National Provider Identifier
1104142983
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7937295-9922 Issued in UT
Practice address
1795 W 500 S Ste B2
Springville, UT 84663
Phone
(801) 491-6920
NPI assigned
Apr 19, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20160805001386 UT Order and Referring Only - DentistPractitioner - Dentist 4385938885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Family Dental General Practice Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7937295-9922 UT Primary

Addresses

NPPES NPI Registry

Primary practice location

1795 W 500 S Ste B2
Springville, UT 84663

Mailing address

1795 W 500 S Ste B2
Springville, UT 84663-3187
Phone (801) 491-6920

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2018.

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1104142983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 W 500 S STE B2",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633187",
            "telephone_number": "801-491-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 W 500 S STE B2",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "84663",
            "telephone_number": "801-491-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINDERS",
        "first_name": "RENN",
        "middle_name": "GARRETT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7937295-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

Verify at the official NPI Registry.