Individual provider Active NPI

Cynthia Fay Flanagan, DMD

  • General Practice Dentistry
  • Myerstown, PA
National Provider Identifier
1578628277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS028570-L Issued in PA
Practice address
219 W Hamilton Ave
Myerstown, PA 17067-2360
Phone
(717) 866-5123
Fax
(717) 866-2967
NPI assigned
Dec 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS028570-L PA Primary

Addresses

Primary practice location

219 W Hamilton Ave
Myerstown, PA 17067-2360

Mailing address

219 W Hamilton Ave
Myerstown, PA 17067-2360
Phone (717) 866-5123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160531000088 PA Order and Referring Only - DentistPractitioner - Dentist 4981994241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS028570-LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jeesomin General Practice Past Accepting new patients
Kegerreis Dental, Inc. General Practice PastSince Oct 5, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578628277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W HAMILTON AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672360",
            "telephone_number": "717-866-5123",
            "fax_number": "717-866-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W HAMILTON AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672360",
            "telephone_number": "717-866-5123",
            "fax_number": "717-866-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "CYNTHIA",
        "middle_name": "FAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028570-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myerstown, PA

Sources for this page

Verify at the official NPI Registry.