Parker Flynn, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12014399A Issued in IN

Practice address

1842 Steven Ave
Bedford, IN 47421-3500

Phone

(812) 279-9767

NPI assigned

May 28, 2024

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

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 and National Provider Directory roles.

• Dogwood Dental LLC

  • Dental Clinic/Center
  • Orleans, IN
  • NPI 1407479058
  NPD (past)

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1487494506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 STEVEN AVE",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213500",
            "telephone_number": "812-279-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 STEVEN AVE",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213500",
            "telephone_number": "812-279-9767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "262 N Maple St",
            "address_purpose": "LOCATION",
            "city": "Orleans",
            "state": "IN",
            "postal_code": "474521426",
            "country_code": "US",
            "telephone_number": "812-865-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "PARKER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014399A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starr Lynn Fish, REGISTERED NURSE
• Shelby Fleetwood, LCSW
• Alexandria Fletcher, RBT
• Mariah Mikel Flowers, FNP-C, RN
• Corrie Nicole Flynn
• Ford Enterprises LLC
• Emily Fortner, RDN, LDN, MPH
• James Austin Fountain, PHARM.D.
• Avery Fox, RBT
• Sarah Elizabeth Freese, MD

• Dentist in Bedford, IN
• Providers in Bedford, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.