Ryan Joel Flake, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7042 Issued in OK

Practice address

519 S Santa Fe Ave
Edmond, OK 73003-6281

Phone

(405) 844-6100

NPI assigned

May 24, 2018

Last updated

May 24, 2018By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allen and Hansen Dentistry Partnership

  dba Shepherd Mall Family Dentistry

  • Dental Clinic/Center
  • Oklahoma City, OK
  • NPI 1013416940
  NPD (past)
• Allen and Hansen Dentistry Partnership

  • Dentist
  • Oklahoma City, OK
  • NPI 1235305814
  NPD (past)

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1972094001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730036281",
            "telephone_number": "405-844-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730036281",
            "telephone_number": "405-844-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAKE",
        "first_name": "RYAN",
        "middle_name": "JOEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Fisher, MD
• Ksenia N Fisher, NP
• Blake Fitzpatrick, PHARMD
• Taylor Cole Fitzpatrick
• Allison Flaherty
• David L Fleming, PA-C
• Brittany Flemings, PA-C
• Deren Flesher, D.D.S.
• Alicia Fletcher, MS
• Mallory Nicole Fletcher

• General Practice Dentistry in Edmond, OK
• Providers in Edmond, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.