Active NPI
Flat Creek Enterprises, LLC
- Medical Specialty Clinic/Center
- Springfield, MO
National Provider Identifier
1194908632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 114747
- Legal business name
- FLAT CREEK ENTERPRISES, LLC
- Practice address
- 1410 E Kearney St
Suite D
Springfield, MO 65803-4102 - Phone
- (417) 773-0520
- NPI assigned
- Dec 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dave D Weems, D.O.
- Title
- Owner
- Phone
- (417) 773-0520
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 114747 | MO | Primary |
Addresses
Primary practice location
1410 E Kearney St
Suite D
Springfield, MO 65803-4102
Mailing address
PO Box 8235
Springfield, MO 65801-8235
Phone (417) 864-5455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 505488601 | Medicaid | MO | |
| DG9102 | Other | MO | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1410 E Kearney St
Ste D
Springfield, MO 65803
Phone (417) 773-0520
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1194908632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8235",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658018235",
"telephone_number": "417-864-5455",
"fax_number": "417-864-5781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 E KEARNEY ST",
"address_2": "SUITE D",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658034102",
"telephone_number": "417-773-0520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLAT CREEK ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-06",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "WEEMS",
"authorized_official_first_name": "DAVE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "417-773-0520",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MO",
"license": "114747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "505488601",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG9102",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.