Active NPI
Kendra Flann, D.M.D
- Pediatric Dentistry
- Sherwood, OR
National Provider Identifier
1457618639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D9975
- Practice address
- 17680 SW Handley St Ste 201
Sherwood, OR 97140-9299 - Phone
- (503) 625-5437
- NPI assigned
- Apr 12, 2012
- Last updated
- Oct 12, 2022
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D9975 | OR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 390200000 | OR |
Addresses
Primary practice location
17680 SW Handley St Ste 201
Sherwood, OR 97140-9299
Mailing address
17680 SW Handley St Ste 201
Sherwood, OR 97140-9299
Phone (503) 625-5437
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 |
|---|---|---|---|
| D9975 | OR | MD | Pediatric Dentist |
| 390200000 | OR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bittner & Flann LLC | Pediatric Dentistry | Past | Accepting new patients |
| Bittner Dentistry for Kids | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Sherwood, OR
- NPI 1578057618
-
- Pediatric Dentistry
- Sherwood, OR
- NPI 1710380886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1457618639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17680 SW HANDLEY ST STE 201",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971409299",
"telephone_number": "503-625-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17680 SW HANDLEY ST STE 201",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971409299",
"telephone_number": "503-625-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANN",
"first_name": "KENDRA",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-12",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OR",
"license": "D9975",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": "390200000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherwood, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.