Active NPI
Joe David Flowers, DDS
- Dentist
- Covington, LA
National Provider Identifier
1306953245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1845
- Practice address
- 842 Collins Blvd
Ste F.
Covington, LA 70433 - Phone
- (985) 809-1889
- Fax
- (985) 809-9553
- NPI assigned
- Aug 24, 2006
- Last updated
- Oct 16, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1845 | HI | Primary |
| Dentist | 122300000X | 2444 | LA |
Addresses
Primary practice location
842 Collins Blvd
Ste F.
Covington, LA 70433
Mailing address
842 Collins Blvd Family Dentistry
Ste F.
Covington, LA 70433
Phone (985) 809-1889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07649303 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1845 | HI | MD | Dentist |
| 2444 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1306953245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 COLLINS BLVD FAMILY DENTISTRY",
"address_2": "STE F.",
"city": "COVINGTON",
"state": "LA",
"postal_code": "70433",
"telephone_number": "985-809-1889",
"fax_number": "985-809-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 COLLINS BLVD",
"address_2": "STE F.",
"city": "COVINGTON",
"state": "LA",
"postal_code": "70433",
"telephone_number": "985-809-1889",
"fax_number": "985-809-9553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOWERS",
"first_name": "JOE",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "1845",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "2444",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07649303",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.