Individual provider Active NPI

Katelyn Flowers

  • General Practice Dentistry
  • Centerburg, OH
National Provider Identifier
1174188148
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025744 Issued in OH
Practice address
3927 Columbus Rd
Centerburg, OH 43011-9475
Phone
(740) 480-8162
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.025744 OH Primary

Addresses

Primary practice location

3927 Columbus Rd
Centerburg, OH 43011-9475

Mailing address

3927 Columbus Rd
Centerburg, OH 43011-9475
Phone (740) 480-8162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.025744OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Dental Care of Centerburg, LLC General Practice CurrentSince Feb 12, 2023 Accepting new patients
McDuffee Lima Dentistry LLC PastSince Feb 12, 2023 Accepting new patients

Locations

3927 Columbus Rd
Centerburg, OH 43011
Phone (740) 480-8162

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1174188148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 COLUMBUS RD",
            "city": "CENTERBURG",
            "state": "OH",
            "postal_code": "430119475",
            "telephone_number": "740-480-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 COLUMBUS RD",
            "city": "CENTERBURG",
            "state": "OH",
            "postal_code": "430119475",
            "telephone_number": "740-480-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOWERS",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.