Active NPI
Richard Dean Ebert DDS PLLC
Doing business as Flushing Valley Dental
- Dental Clinic/Center
- Flushing, MI
National Provider Identifier
1689304925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Dean Ebert, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Flushing, MI
- NPI 1174789234
-
- General Practice Dentistry
- Flushing, MI
- NPI 1689791220
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.