Roger Flippen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

31923 Issued in TX

Practice address

3920 Grants Mill Rd
Birmingham, AL 35210-1204

Phone

(205) 956-8977

NPI assigned

Jun 15, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Practice roles

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.

• Alabama Dental Associates

  • Dentist
  • Birmingham, AL
  • NPI 1811452253
  NPD (past)

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1194175679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 WELLINGTON DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241466",
            "telephone_number": "205-956-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 GRANTS MILL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352101204",
            "telephone_number": "205-956-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIPPEN",
        "first_name": "ROGER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6314",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy R Flemming-Tracy, OT
• Boman Scott Flemming, M.ED., L.P.C.
• Erin Elizabeth Flemming, AU.D.
• Deaquanate Fletcher
• Latisha Fletcher
• Kellie L Flood, MD
• Flor Dialysis LLC
• Flor Dialysis LLC
• Catherine Florence
• Monina Florendo, P.T.

• Dentist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.