Individual provider Active NPI

Heather R Flowers, D.M.D.

  • Dentist
  • Lincoln City, OR
National Provider Identifier
1497278394
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D10640 Issued in OR
Practice address
3173 NE West Devils Lake Road
Lincoln City, OR 97367-5133
Phone
(541) 994-8135
Fax
(541) 994-8136
NPI assigned
Jul 23, 2017
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D10640 OR Primary
General Practice Dentistry 1223G0001X D10640 OR

Addresses

Primary practice location

3173 NE West Devils Lake Road
Lincoln City, OR 97367-5133

Mailing address

3173 NE West Devils Lake Road
Lincoln City, OR 97367-5133
Phone (541) 994-8135

Other practice location 1

400 SW Belair Dr
Clatskanie, OR 97016-7415
Phone (503) 728-2114

Other names 1

  • Miss Heather Renee Haines Former name

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
D10640ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arrow Dental LLC Dentist Past Accepting new patients
Estate of Kevin L. Chancellor General Practice PastSince Sep 25, 2022 Accepting new patients
Arrow Dental LLC Dentist Past Accepting new patients
Lakeside Family Dentistry General Practice PastSince Sep 25, 2022 Accepting new patients

Organizations & group practices 4

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": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1497278394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 NE WEST DEVILS LAKE ROAD",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675133",
            "telephone_number": "541-994-8135",
            "fax_number": "541-994-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3173 NE WEST DEVILS LAKE ROAD",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675133",
            "telephone_number": "541-994-8135",
            "fax_number": "541-994-8136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 SW Belair Dr",
            "address_purpose": "LOCATION",
            "city": "Clatskanie",
            "state": "OR",
            "postal_code": "970167415",
            "country_code": "US",
            "telephone_number": "503-728-2114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOWERS",
        "first_name": "HEATHER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10640",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HAINES",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.