Hollie E Pfeffer Flack, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2011016314 Issued in MO

Practice address

6247 Brookside Blvd Ste 207
Kansas City, MO 64113-1645

Phone

(816) 523-1444

Fax

(816) 363-2899

NPI assigned

May 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Daniel C Nielson DDS Chartered

  • Dentist
  • Olathe, KS
  • NPI 1568628386
  NPD (past)
• Nielson Family Dentistry

  • Dentist
  • Olathe, KS
  • NPI 1871704767
  NPD (past)

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1396182952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6247 BROOKSIDE BLVD STE 207",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641131645",
            "telephone_number": "816-523-1444",
            "fax_number": "816-363-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6247 BROOKSIDE BLVD STE 207",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641131645",
            "telephone_number": "816-523-1444",
            "fax_number": "816-363-2899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16500 Indian Creek Pkwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660621429",
            "country_code": "US",
            "telephone_number": "913-829-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLACK",
        "first_name": "HOLLIE",
        "middle_name": "E PFEFFER",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2011016314",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60960",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2011016314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Nicole Fitzgerald, MSN, APRN, FNP-BC
• Lori E Fitzgerald, MS, CCC-SLP
• Laura Fitzmaurice, MD
• Five Guys Transpotation Group, LLC
• Adam Flack, D.D.S. M.D.
• Kenna Diane Flacke
• Alexandra Ann Flanagan, MD
• Jeremy R. Flanagan, M.D.
• Keri Flanagan, LCSW, LSCSW
• Samantha Renee Flanagan, OTD, OTR/L

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.