NPIMap

Organization Active NPI

Marc D. Flach, D.D.S., Inc.

  • General Practice Dentistry
  • Cleveland, TX
National Provider Identifier
1770740920
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11074 Issued in TX
Legal business name
MARC D. FLACH, D.D.S., INC.
Practice address
103 S Roosevelt Ave
Cleveland, TX 77327-4532
Phone
(281) 592-5865
Fax
(281) 593-1756
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Mrs. Alexis Stokes Flach
Title
Cfo
Phone
(281) 592-5865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11074 TX Primary

Addresses

Primary practice location

103 S Roosevelt Ave
Cleveland, TX 77327-4532

Mailing address

103 S Roosevelt Ave
Cleveland, TX 77327-4532
Phone (281) 592-5865

National Provider Directory

National Provider Directory

Locations

103 S Roosevelt Ave
Cleveland, TX 77327
Phone (281) 592-5865

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1770740920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S ROOSEVELT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274532",
            "telephone_number": "281-592-5865",
            "fax_number": "281-593-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S ROOSEVELT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274532",
            "telephone_number": "281-592-5865",
            "fax_number": "281-593-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC D. FLACH, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "FLACH",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "STOKES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "281-592-5865",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.