NPIMap

Organization Active NPI

Flatrock Family Dentistry, P.C.

  • General Practice Dentistry
  • North Platte, NE
National Provider Identifier
1215960976
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6052 Issued in NE
Legal business name
FLATROCK FAMILY DENTISTRY, P.C.
Practice address
1225 S Poplar St
Suite 500
North Platte, NE 69101-7785
Phone
(308) 534-8080
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Dr. Derek Patrick Walrod, D.D.S.NPI 1043442312
Title
President
Phone
(308) 534-8080

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6052 NE Primary

Addresses

Primary practice location

1225 S Poplar St
Suite 500
North Platte, NE 69101-7785

Mailing address

1225 S Poplar St
Suite 500
North Platte, NE 69101-7785
Phone (308) 534-8080

Other names 1

  • Flatrock Family Dentistry, P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

1225 S Poplar St
Ste 500
North Platte, NE 69101
Phone (308) 534-8080

Practitioners & affiliated clinicians

Practitioners 2

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1215960976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 S POPLAR ST",
            "address_2": "SUITE 500",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691017785",
            "telephone_number": "308-534-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S POPLAR ST",
            "address_2": "SUITE 500",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691017785",
            "telephone_number": "308-534-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATROCK FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "WALROD",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-534-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flatrock Family Dentistry, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.