Individual provider Active NPI

Jeremy Joseph Flinkman, DMD

  • General Practice Dentistry
  • Urbandale, IA
National Provider Identifier
1356913073
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08995 Issued in IA
Practice address
8078 Douglas Ave
Urbandale, IA 50322-2450
Phone
(515) 276-7800
Fax
(515) 259-7569
NPI assigned
Jul 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08995 IA Primary

Addresses

Primary practice location

8078 Douglas Ave
Urbandale, IA 50322-2450

Mailing address

47 NE 70TH PL
Ankeny, IA 50023

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

LicenseStateTypeSpecialty
08995IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steffany L Mohan DDS PC CurrentSince Aug 7, 2022 Accepting new patients

Locations

8078 Douglas Ave
Urbandale, IA 50322
Phone (515) 207-4388

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1356913073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NE 70TH PL",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "50023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8078 DOUGLAS AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222450",
            "telephone_number": "515-276-7800",
            "fax_number": "515-259-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINKMAN",
        "first_name": "JEREMY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.