Organization Active NPI

DRS. Flaherty & Stacey. PA

  • General Practice Dentistry
  • Asheville, NC
National Provider Identifier
1205013406
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4638 Issued in NC
Legal business name
DRS. FLAHERTY & STACEY. PA
Practice address
417 Biltmore Ave
2-C Doctors Park
Asheville, NC 28801-4543
Phone
(828) 252-3591
Fax
(828) 252-7591
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Cindy R Smeltzer
Title
Office Manager
Phone
(828) 252-3591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4638 NC Primary

Addresses

Primary practice location

417 Biltmore Ave
2-C Doctors Park
Asheville, NC 28801-4543

Mailing address

417 Biltmore Ave
2-C Doctors Park
Asheville, NC 28801-4543
Phone (828) 252-3591

Other identifiers 2

IdentifierTypeStateIssuer
8992761MedicaidNC
89902EKMedicaidNC

National Provider Directory

National Provider Directory

Locations

2 Doctors Park
Ste C
Asheville, NC 28801
Phone (828) 252-3591

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": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1205013406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BILTMORE AVE",
            "address_2": "2-C DOCTORS PARK",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014543",
            "telephone_number": "828-252-3591",
            "fax_number": "828-252-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 BILTMORE AVE",
            "address_2": "2-C DOCTORS PARK",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014543",
            "telephone_number": "828-252-3591",
            "fax_number": "828-252-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. FLAHERTY & STACEY. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "SMELTZER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-252-3591"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8992761",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902EK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.