NPIMap

Organization Active NPI

Ronald J. Flanigan DDS, PC

  • General Practice Dentistry
  • Morton, IL
National Provider Identifier
1881760346
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019017186 Issued in IL
Legal business name
RONALD J. FLANIGAN DDS, PC
Practice address
134 Detroit Ave
Morton, IL 61550-1532
Phone
(309) 263-7449
Fax
(309) 263-2209
NPI assigned
Nov 28, 2006
Last updated
Feb 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Dr. Ronald James Flanigan, DDSNPI 1588704191
Title
President
Phone
(309) 263-7449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019017186 IL Primary

Addresses

Primary practice location

134 Detroit Ave
Morton, IL 61550-1532

Mailing address

134 Detroit Ave
Morton, IL 61550-1532
Phone (309) 263-7449

National Provider Directory

National Provider Directory
Tax ID family
Ronald J Flanigan DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1881760346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 DETROIT AVE",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501532",
            "telephone_number": "309-263-7449",
            "fax_number": "309-263-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 DETROIT AVE",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501532",
            "telephone_number": "309-263-7449",
            "fax_number": "309-263-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J. FLANIGAN DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "FLANIGAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-263-7449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.