Organization Active NPI

Richard C. Flores, DDS, LLC

  • Dental Clinic/Center
  • Willoughby, OH
National Provider Identifier
1992218671
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30.023927 Issued in OH
Legal business name
RICHARD C. FLORES, DDS, LLC
Practice address
34940 Ridge Rd
Willoughby, OH 44094-4196
Phone
(440) 975-5774
NPI assigned
Nov 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Dr. Richard Flores, DDSNPI 1306281191
Title
Owner
Phone
(440) 665-0245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30.023927 OH Primary

Addresses

Primary practice location

34940 Ridge Rd
Willoughby, OH 44094-4196

Mailing address

2000 King James Pkwy Apt 143
Westlake, OH 44145-3477

Other identifiers 1

IdentifierTypeStateIssuer
1306281191MedicaidOH

National Provider Directory

National Provider Directory

Locations

34940 Ridge Rd
Willoughby, OH 44094
Phone (440) 953-4429

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1992218671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 KING JAMES PKWY APT 143",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34940 RIDGE RD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944196",
            "telephone_number": "440-975-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. FLORES, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-665-0245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30.023927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306281191",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.