Individual provider Active NPI

Robert K Flath, DDS

  • Endodontics
  • Rock Springs, WY
National Provider Identifier
1518027093
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
3115839921 Issued in UT
Practice address
1208 Hilltop Dr
Suite 209
Rock Springs, WY 82901
Phone
(307) 362-4867
NPI assigned
Dec 12, 2006
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 3115839921 UT
Periodontics 1223P0300X 1022 WY
Endodontics 1223E0200X 3115839921 UT Primary
Endodontics 1223E0200X 1022 WY

Addresses

Primary practice location

1208 Hilltop Dr
Suite 209
Rock Springs, WY 82901

Mailing address

1208 Hilltop Dr
Suite 209
Rock Springs, WY 82901
Phone (307) 362-4867

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
3115839921UTMDPeriodontist
1022WYMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1518027093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HILLTOP DR",
            "address_2": "SUITE 209",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "82901",
            "telephone_number": "307-362-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 HILLTOP DR",
            "address_2": "SUITE 209",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "82901",
            "telephone_number": "307-362-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLATH",
        "first_name": "ROBERT",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "UT",
            "license": "3115839921",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WY",
            "license": "1022",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "UT",
            "license": "3115839921",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WY",
            "license": "1022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.