Maurer Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MAURER FAMILY DENTAL LLC

Practice address

4526 Old Salem LN
Springfield, IL 62711-6006

Phone

(217) 546-8600

NPI assigned

Aug 30, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Trisha Fluckiger, DMDNPI 1700304631

Title

Owner

Phone

(217) 546-8600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Trisha Anne Fluckiger, DMD

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1700304631
  NPD Authorized official

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1952829889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 S BATES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043348",
            "telephone_number": "217-314-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 OLD SALEM LN",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116006",
            "telephone_number": "217-546-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURER FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "FLUCKIGER",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-546-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roderick L Matticks, M.D.
• Carlene Mattimore, M.S., L.C. P.C.
• Diane Mattiuz, PHARMD
• Evelina Matveyev, LCSW
• Daniel Maughan, CRNA
• Greg Maurer, MD
• Susan M Maurer, D.M.D.
• Shakuntala Hanumant Mauzo, MBBS,MD
• Amanda M Mavis, FNP
• Harolyn G Maxwell, CRNA

• General Practice Dentistry in Springfield, IL
• Providers in Springfield, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.