Kevin Peter Flannery, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7090 Issued in NV

Practice address

280 Vista Knoll Pkwy Ste 114
Reno, NV 89506-5649

Phone

(775) 971-9282

NPI assigned

Aug 1, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Callaway-Nelson Lemmon Valley Dental Group PC

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1447636378
  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1932687936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9870 DOUBLE R BLVD UNIT 424",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213189",
            "telephone_number": "516-987-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 VISTA KNOLL PKWY STE 114",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895065649",
            "telephone_number": "775-971-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNERY",
        "first_name": "KEVIN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE DENTAL BOARD",
            "identifier": "7090",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Five Star Rehabilitation and Wellness Services, LLC.
• Faith Flaherty
• Jennifer Flaherty
• Holly L Flammer
• Joann Flanagan, L.A.D.C.
• Viviane Flaten
• Sonia Flauta, LMFT
• Mitchell J. Fleischer, D.C.
• Melissa N Fleischmann
• Hilari L Fleming, M.D., PH.D.

• General Practice Dentistry in Reno, NV
• Providers in Reno, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.