Active NPI
Neil A Flenniken, D.D.S.
- Dentist
- Carlisle, PA
National Provider Identifier
1760538813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS030157L
- Practice address
- 30 State Ave
Carlisle, PA 17013-4431 - Phone
- (717) 249-7777
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS030157L | PA | Primary |
Addresses
Primary practice location
30 State Ave
Carlisle, PA 17013-4431
Mailing address
121 Stonehedge Dr
Carlisle, PA 17013-9121
Phone (717) 245-2297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150611002328 | PA | Order and Referring Only - Oral Surgery | 3274854534 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS030157L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flenniken & Flenniken P.C. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Carlisle, PA
- NPI 1649352907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760538813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 STONEHEDGE DR",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170139121",
"telephone_number": "717-245-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 STATE AVE",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170134431",
"telephone_number": "717-249-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLENNIKEN",
"first_name": "NEIL",
"middle_name": "A",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS030157L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
- Elizabeth Ann Fisher, OTR/L
- Grace Macdonald Fisher
- Katelyn Fisher
- Daniel Patrick Flatley, PTA
- Flenniken & Flenniken P.C.
- Charles Lindbergh Flowers III, LMT
- Clara Forbeck, FCP
- Forest Park Health Center
- Forest Park Nursing and Rehabilitation LLC (Forest Park Nursing and Rehabilitation)
- Kelsi L Forster, MSW, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.