Individual provider Active NPI

Maureen Louise O'Flanagan, DDS, PA

  • General Practice Dentistry
  • Deerfield Beach, FL
National Provider Identifier
1588871784
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0011545 Issued in FL
Practice address
201 SE 15TH Ter
Suite 105
Deerfield Beach, FL 33441-4464
Phone
(954) 427-3755
NPI assigned
May 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 0011545 FL Primary

Addresses

Primary practice location

201 SE 15TH Ter
Suite 105
Deerfield Beach, FL 33441-4464

Mailing address

201 SE 15TH Ter
Suite 105
Deerfield Beach, FL 33441-4464
Phone (954) 427-3755

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0011545FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588871784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SE 15TH TER",
            "address_2": "SUITE 105",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414464",
            "telephone_number": "954-427-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SE 15TH TER",
            "address_2": "SUITE 105",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414464",
            "telephone_number": "954-427-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'FLANAGAN",
        "first_name": "MAUREEN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "0011545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.