Individual provider Active NPI

Tom L Flaming, D.O.

  • Family Medicine Physician
  • Dallas, OR
National Provider Identifier
1497727127
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO10396 Issued in OR
Practice address
1000 SE Uglow Ave
Dallas, OR 97338-2645
Phone
(503) 623-8376
Fax
(503) 623-5293
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO10396 OR Primary

Addresses

Primary practice location

1000 SE Uglow Ave
Dallas, OR 97338-2645

Mailing address

1000 SE Uglow Ave
Dallas, OR 97338-2645
Phone (503) 623-8376

Other identifiers 1

IdentifierTypeStateIssuer
231084MedicaidOR

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)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1497727127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SE UGLOW AVE",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382645",
            "telephone_number": "503-623-8376",
            "fax_number": "503-623-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SE UGLOW AVE",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382645",
            "telephone_number": "503-623-8376",
            "fax_number": "503-623-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAMING",
        "first_name": "TOM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO10396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231084",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.