Organization Active NPI

Flenniken & Flenniken P.C.

  • Dentist
  • Carlisle, PA
National Provider Identifier
1649352907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FLENNIKEN & FLENNIKEN P.C.
Practice address
30 State Ave
Carlisle, PA 17013-4431
Phone
(717) 249-7777
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eileen Boulden
Title
Office Manager
Phone
(717) 249-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

30 State Ave
Carlisle, PA 17013-4431

Mailing address

30 State Ave
Carlisle, PA 17013-4431
Phone (717) 249-7777

Other names 1

  • Flenniken Family Dentistry P.C. Other name

National Provider Directory

National Provider Directory

Locations

30 State Ave
Carlisle, PA 17013
Phone (717) 249-7777

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649352907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STATE AVE",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134431",
            "telephone_number": "717-249-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 STATE AVE",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134431",
            "telephone_number": "717-249-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLENNIKEN & FLENNIKEN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOULDEN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-249-7777"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flenniken Family Dentistry P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.