Active NPI
James Harris Flanagin III, D.D.S.
- Dentist
- Conway, AR
National Provider Identifier
1679799357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3124
- Practice address
- 800 Locust St
Conway, AR 72034-5331 - Phone
- (501) 327-4466
- Fax
- (501) 327-4495
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 3124 | AR | Primary |
Addresses
Primary practice location
800 Locust St
Conway, AR 72034-5331
Mailing address
PO Box 1628
Conway, AR 72033-1628
Phone (501) 327-4466
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 717529 | Other | KS | KANSAS BLUE CROSS BLUE SH |
| 005302 | Other | AR | UNITED CONCORDIA |
| 59994 | Other | AR | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 11, 2016 through Feb 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3124 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679799357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1628",
"city": "CONWAY",
"state": "AR",
"postal_code": "720331628",
"telephone_number": "501-327-4466",
"fax_number": "501-327-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 LOCUST ST",
"city": "CONWAY",
"state": "AR",
"postal_code": "720345331",
"telephone_number": "501-327-4466",
"fax_number": "501-327-4495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGIN",
"first_name": "JAMES",
"middle_name": "HARRIS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "3124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS BLUE CROSS BLUE SH",
"identifier": "717529",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "005302",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "59994",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.