Joshua Flavin

Primary specialty

DentistTaxonomy code 122300000X

License

1001413 Issued in WI

Practice address

200 E Bridge St Ste 100
Wausau, WI 54403-3574

Phone

(715) 843-9800

Fax

(715) 843-9819

NPI assigned

Aug 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quirt Family Dentistry, SC

  • General Practice Dentistry
  • Wausau, WI
  • NPI 1235404732
  NPD (past)

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1750836623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BRIDGE ST STE 100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033574",
            "telephone_number": "715-843-9800",
            "fax_number": "715-843-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E BRIDGE ST STE 100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033574",
            "telephone_number": "715-843-9800",
            "fax_number": "715-843-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAVIN",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Fisher, PA-C
• William L Fisher, PA-C
• Kevin T. Flaherty, M.D.
• Hannah Flanery
• John Alexander Flatter, M.D.
• Nicole L Flohr, PA-C
• FMG 3107 Westhill Drive Wisconsin LLC
• Amber M Foley, LPC, SAC
• Aaron Follensbee, PA-C
• Natalie Fondell, LMSW

• Dentist in Wausau, WI
• Providers in Wausau, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.