Active NPI
Jeffery D Flatt, DDS
- General Practice Dentistry
- New Albany, IN
National Provider Identifier
1235219544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- IN8385
- Practice address
- 1919 State St Ste 208
New Albany, IN 47150-6805 - Phone
- (812) 944-7874
- Fax
- (812) 944-7930
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8385 | IN | |
| General Practice Dentistry | 1223G0001X | IN8385 | IN | Primary |
Addresses
Primary practice location
1919 State St Ste 208
New Albany, IN 47150-6805
Mailing address
1919 State St
Ste 208
New Albany, IN 47150
Phone (812) 944-7874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170316000451 | IN | Order and Referring Only - Dentist | 8224313150 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IN8385 | IN | MD | General Practice Dentistry |
| 8385 | IN | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1235219544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 STATE ST",
"address_2": "STE 208",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "47150",
"telephone_number": "812-944-7874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 STATE ST STE 208",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471506805",
"telephone_number": "812-944-7874",
"fax_number": "812-944-7930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLATT",
"first_name": "JEFFERY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "8385",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "IN8385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.