Brianna Lynn Fluellen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23893 Issued in TX

Practice address

701 N Central Expy BLDG 4
Richardson, TX 75080-5358

Phone

(972) 231-8241

Fax

(972) 231-8261

NPI assigned

Jul 10, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 28, 2016 through Feb 29, 2028

Medicare enrollment (NPD)

Not 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.

• Fluellen Roberts Family Dentistry, PLLC

  • General Practice Dentistry
  • Richardson, TX
  • NPI 1811407828
  NPD (past)

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1821227885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N CENTRAL EXPY BLDG 4",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805358",
            "telephone_number": "972-231-8241",
            "fax_number": "972-231-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N CENTRAL EXPY BLDG 4",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805358",
            "telephone_number": "972-231-8241",
            "fax_number": "972-231-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUELLEN",
        "first_name": "BRIANNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monreudy Chanthaboun Flores, LMT
• Flossmore Dental
• Laura Flowers, LPC, LMFT ASSOCIATE
• Shannon V. Floyd, LCSW
• Fluellen Roberts Family Dentistry, PLLC
• FM Furniture Imports Inc
• FM Mobility Inc
• FNN Neurology, PLLC Dba Focus Neurohealth
• Tara Tate Foerster, NNP
• Megan Mary Fogarty, BA

• General Practice Dentistry in Richardson, TX
• Providers in Richardson, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.