Kevin M Flanigan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046999-1 Issued in NY

Practice address

5755 Broadway St
Lancaster, NY 14086-2357

Phone

(716) 683-0891

NPI assigned

Nov 22, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lancaster Dental Associates, PC

  • General Practice Dentistry
  • Lancaster, NY
  • NPI 1437224698
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255406484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HUNTERS DR",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140861440",
            "telephone_number": "716-683-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 BROADWAY ST",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140862357",
            "telephone_number": "716-683-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANIGAN",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046999-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01860902",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachelle Bryce Fabrizio, DPT
• Christine Evert Farr, B.PSYCHOLOGY
• Brenda Marie Fijas
• Fischer Chiropractic PLLC
• Charles Paul Fischer, DC
• Brittany Flynn
• Michelle Renee Foster, A.A.S, B.A., PHARM.D
• Donna J Fraser, DDS
• Melissa Frawley
• Jacqueline Ann Gallagher, ACNP

• General Practice Dentistry in Lancaster, NY
• Providers in Lancaster, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.