Individual provider Active NPI

Rebecca Renee Flaiz, DDS

  • Dentist
  • Hood River, OR
National Provider Identifier
1740542349
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9655 Issued in OR
Practice address
3623 Lois Dr
Hood River, OR 97031-8755
Phone
(541) 386-3818
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D9655 OR Primary

Addresses

Primary practice location

3623 Lois Dr
Hood River, OR 97031-8755

Mailing address

3623 Lois Dr
Hood River, OR 97031-8755
Phone (541) 386-3818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819006372 OR Order and Referring Only - DentistPractitioner - Dentist 5991010076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: rflaiz107915@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1740542349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 LOIS DR",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970318755",
            "telephone_number": "541-386-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 LOIS DR",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970318755",
            "telephone_number": "541-386-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAIZ",
        "first_name": "REBECCA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.