Active NPI
James John Flaggert III, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Austin, TX
National Provider Identifier
1346330396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 11746
- Practice address
- 11615 Angus Rd.
Suite 118
Austin, TX 78759-4065 - Phone
- (512) 418-8505
- Fax
- (512) 418-8506
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 11746 | TX | Primary |
Addresses
Primary practice location
11615 Angus Rd.
Suite 118
Austin, TX 78759-4065
Mailing address
11615 Angus Rd.
Suite 118
Austin, TX 78759-4065
Phone (512) 418-8505
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11746 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346330396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11615 ANGUS RD.",
"address_2": "SUITE 118",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594065",
"telephone_number": "512-418-8505",
"fax_number": "512-418-8506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11615 ANGUS RD.",
"address_2": "SUITE 118",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594065",
"telephone_number": "512-418-8505",
"fax_number": "512-418-8506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAGGERT",
"first_name": "JAMES",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "11746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.