Mirna Elena Flores, DMD

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

D011455 Issued in AZ

Practice address

15317 W Bell Rd Ste 108
Surprise, AZ 85374-3901

Phone

(877) 809-5092

Fax

(623) 214-5231

NPI assigned

Jul 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mirna.florescigrangdds.p1@direct.ycchs.nextgenshare.com

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1821724261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15317 W BELL RD STE 108",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743901",
            "telephone_number": "877-809-5092",
            "fax_number": "623-214-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15317 W BELL RD STE 108",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743901",
            "telephone_number": "877-809-5092",
            "fax_number": "623-214-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MIRNA",
        "middle_name": "ELENA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011455",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011455",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "AZ",
            "license": "D011455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Flaningam
• Laura Diane Fletcher, BC-FNP, C-ENP
• Jill Flickinger
• Kayla Lynn Flores
• Kimberly Ann Flores, FNP-C
• Patricio E Flores
• Ruben Flores II
• Jessica Marie Florez, RDH, AP
• Lisa Cope Flower, DNP APRN FNP-BC
• Katie H Fluharty, M.S. CF-SLP

• Public Health Dentistry in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Public Health Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.