Melanie K Loy Flanagan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6571 Issued in KY

Practice address

43 Fruit of the Loom Drive
Jamestown, KY 42629

Phone

(270) 343-4422

NPI assigned

Oct 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508942749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "address_2": "43 FRUIT OF THE LOOM DRIVE",
            "city": "JAMESTOWN",
            "state": "KY",
            "postal_code": "42629",
            "telephone_number": "270-343-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 FRUIT OF THE LOOM DRIVE",
            "city": "JAMESTOWN",
            "state": "KY",
            "postal_code": "42629",
            "telephone_number": "270-343-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOY FLANAGAN",
        "first_name": "MELANIE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "6571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60065711",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake Cumberland Children's Advocacy Center
• Lake Cumberland District Health Department (Russell County Health Department)
• Lake Cumberland District Health Dept (Union Chapel Elementary School)
• Lake Cumberland District Heatlh Dept (Jamestown Elementary School)
• Jerry Wayne Lawson, MD
• Brittany Hadley Luttrell, APRN
• Katherine R. Lynn
• Chantelle Marcum
• Don McDaniel
• Mechelle McFarland

• Dentist in Jamestown, KY
• Providers in Jamestown, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.