Ross Michael Flannagan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012287A Issued in IN

Practice address

2005 Saint Charles St
Suite #5
Jasper, IN 47546-2270

Phone

(812) 482-4321

Fax

(812) 634-6809

NPI assigned

Jun 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477934263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SAINT CHARLES ST",
            "address_2": "SUITE #5",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462270",
            "telephone_number": "812-482-4321",
            "fax_number": "812-634-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SAINT CHARLES ST",
            "address_2": "SUITE #5",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462270",
            "telephone_number": "812-482-4321",
            "fax_number": "812-634-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNAGAN",
        "first_name": "ROSS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012287A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR NUMBER",
            "identifier": "12012287B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "12012287A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trentin Thunder Ferguson
• Flannagan Plastic Surgery P.C.
• Duane Charles Flannagan, M.D.
• Kathleen A Flannagan, MD
• Michael Lee Flannagan, DDS
• Ryan Patrick Flannagan, MD
• Stephanie Flick, CRNA
• Douglas Lee Foertsch, MD
• Daniel John Francis, DMD
• Alice Frehim

• General Practice Dentistry in Jasper, IN
• Providers in Jasper, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.