Active NPI
Candace Lashae Flora, D.M.D.
- Pediatric Dentistry
- Corbin, KY
National Provider Identifier
1740696079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 993
- Practice address
- 129 S Highway 1223
Corbin, KY 40701-4641 - Phone
- (606) 526-9636
- NPI assigned
- Jul 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9509 | KY | |
| Pediatric Dentistry | 1223P0221X | 993 | KY | Primary |
Addresses
Primary practice location
129 S Highway 1223
Corbin, KY 40701-4641
Mailing address
129 S Highway 1223
Corbin, KY 40701-4641
Phone (606) 526-9636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100394300 | Medicaid | KY |
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 |
|---|---|---|---|
| 9509 | KY | MD | Dentist |
| 993 | KY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1740696079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 S HIGHWAY 1223",
"city": "CORBIN",
"state": "KY",
"postal_code": "407014641",
"telephone_number": "606-526-9636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 S HIGHWAY 1223",
"city": "CORBIN",
"state": "KY",
"postal_code": "407014641",
"telephone_number": "606-526-9636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORA",
"first_name": "CANDACE",
"middle_name": "LASHAE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "9509",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "KY",
"license": "993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100394300",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.