Organization Active NPI

Denise a Flanagan DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Indianapolis, IN
National Provider Identifier
1962766444
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
12009664A Issued in IN
Legal business name
DENISE A FLANAGAN DDS PC
Practice address
8240 Naab Rd Ste 355
Indianapolis, IN 46260-1987
Phone
(317) 876-1095
Fax
(317) 875-7275
NPI assigned
Jun 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Dr. Denise A Flanagan, DDS
Title
Owner
Phone
(317) 876-1095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 12009664A IN Primary

Addresses

Primary practice location

8240 Naab Rd Ste 355
Indianapolis, IN 46260-1987

Mailing address

8240 Naab Rd Ste 355
Indianapolis, IN 46260-1987
Phone (317) 876-1095

Other identifiers 1

IdentifierTypeStateIssuer
200182630AMedicaidIN

Other names 1

  • Oral & Maxillofacial Surgeons Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1962766444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 NAAB RD STE 355",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601987",
            "telephone_number": "317-876-1095",
            "fax_number": "317-875-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 NAAB RD STE 355",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601987",
            "telephone_number": "317-876-1095",
            "fax_number": "317-875-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE A FLANAGAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-876-1095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12009664A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200182630A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral & Maxillofacial Surgeons",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.