Organization Active NPI

Richard Dean Ebert DDS PLLC

Doing business as Flushing Valley Dental

  • Dental Clinic/Center
  • Flushing, MI
National Provider Identifier
1689304925
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RICHARD DEAN EBERT DDS PLLC
Doing business as
Flushing Valley Dental
Practice address
1319 E Main St
Flushing, MI 48433-2243
Phone
(810) 659-9131
NPI assigned
Jun 10, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Richard Dean Ebert, DDSNPI 1174789234
Title
Dentist/ Owner
Phone
(586) 260-7390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1319 E Main St
Flushing, MI 48433-2243

Mailing address

1319 E Main St
Flushing, MI 48433-2243
Phone (810) 659-9131

Other names 1

  • Flushing Valley Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1319 E Main St
Flushing, MI 48433
Phone (586) 260-7390

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1689304925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 E MAIN ST",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332243",
            "telephone_number": "810-659-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 E MAIN ST",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332243",
            "telephone_number": "810-659-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD DEAN EBERT DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "EBERT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "586-260-7390",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flushing Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.