Active NPI
Rebecca Flaugher, DMD
- Dentist
- Milwaukee, WI
National Provider Identifier
1336990712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6001201
- Practice address
- 6200 W Bluemound Rd
Milwaukee, WI 53213-4145 - Phone
- (414) 771-5600
- NPI assigned
- Apr 1, 2024
- Last updated
- Apr 1, 2024
- Sex
- Female
- 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 | 6001201 | WI | Primary |
| Dentist | 122300000X | DN122936 | GA |
Addresses
Primary practice location
6200 W Bluemound Rd
Milwaukee, WI 53213-4145
Mailing address
79 White Oak BLF
Savannah, GA 31405-8109
Phone (304) 206-6545
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 |
|---|---|---|---|
| DN122936 | GA | MD | Dentist |
| 6001201 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1336990712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 WHITE OAK BLF",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314058109",
"telephone_number": "304-206-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 W BLUEMOUND RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532134145",
"telephone_number": "414-771-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAUGHER",
"first_name": "REBECCA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-01",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6001201",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN122936",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.