Individual provider Active NPI

John W Floren, D.M.D.

  • Endodontics
  • Rock Hill, SC
National Provider Identifier
1972679405
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
SC3317 Issued in SC
Practice address
1307 Ebenezer Rd
Rock Hill, SC 29732-2336
Phone
(803) 980-3333
Fax
(803) 980-2990
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X SC3317 SC Primary
Endodontics 1223E0200X SC498 SC

Addresses

Primary practice location

1307 Ebenezer Rd
Rock Hill, SC 29732-2336

Mailing address

1307 Ebenezer Rd
Rock Hill, SC 29732-2336
Phone (803) 980-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC3317SCMDEndodontist
SC498SCMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972679405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322336",
            "telephone_number": "803-980-3333",
            "fax_number": "803-980-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322336",
            "telephone_number": "803-980-3333",
            "fax_number": "803-980-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOREN",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "SC3317",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "SC498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.