Individual provider Active NPI

Kendra Flann, D.M.D

  • Pediatric Dentistry
  • Sherwood, OR
National Provider Identifier
1457618639
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D9975 Issued in OR
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
D9975ORMDPediatric Dentist
390200000ORMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Bittner & Flann LLC Pediatric Dentistry PastSince Oct 16, 2022 Accepting new patients
Bittner Dentistry for Kids Pediatric Dentistry PastSince Oct 16, 2022 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.

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.

Verify at the official NPI Registry.