Active NPI
Kevin Louis Flores, DDS, MPH
- Dentist
- Poinciana, FL
National Provider Identifier
1649919283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28839
- Practice address
- 922 Cypress Pkwy
Poinciana, FL 34759-3456 - Phone
- (718) 579-5692
- NPI assigned
- Jun 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28839 | FL | Primary |
Addresses
Primary practice location
922 Cypress Pkwy
Poinciana, FL 34759-3456
Mailing address
922 Cypress Pkwy
Poinciana, FL 34759-3456
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28839 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1649919283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 CYPRESS PKWY",
"city": "POINCIANA",
"state": "FL",
"postal_code": "347593456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 CYPRESS PKWY",
"city": "POINCIANA",
"state": "FL",
"postal_code": "347593456",
"telephone_number": "718-579-5692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "KEVIN",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "DDS, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-01",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "28839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poinciana, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.