FLOWER MOUND DENTISTRY DIVINE (NPI# 1235340365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235340365 |
| Entity Type | Organization |
| Organization Name | FLOWER MOUND DENTISTRY DIVINE |
| Other Organization Name | FLOWER MOUND FAMILY DENTISTRY |
| Practice Address |
2200 Morriss Rd Ste 150 Flower Mound TX 75028-3239 |
| Practice Telephone | 9725394290 |
| Practice Fax Number | 9723551736 |
| Mailing Telephone | 9725394290 |
| Mailing Fax Number | 9723551736 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KIAMESHA MICHALLE MCCLELLAN (PRESIDENT) |
| Authorized Official Telephone | 9725394290 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
15884 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | INDIVIDUAL PIN NUMBER | 1144438060 | 01 |
| Other Name | Type Code |
|---|---|
| FLower Mound Family Dentistry | Other Name - Individual/Organization |
| Street Address |
2200 MORRISS RD STE 150 |
| City | FLOWER MOUND |
| State | TX |
| Zip Code | 75028-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144438060 | Kiamesha Michalle Mcclellan | Dentist | 2200 Morriss Rd Ste 150, Flower Mound, TX 75028-3239 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185047 | Too Health LLC | Home Health | 1404 Mimosa Ct, Flower Mound, TX 75028 | 2020-05-07 |
| 1417448127 | Kyle Miller | Physical Therapist | 4401 Long Prairie Rd Ste 300, Flower Mound, TX 75028 | 2018-05-29 |
| 1659898450 | Daniel De Armas | Optometrist | 5801 Long Prairie Rd Ste 360, Flower Mound, TX 75028 | 2017-08-23 |
| 1740727114 | Darya Ilushin | Chiropractor | 4305 Windsor Centre Trl Ste 100, Flower Mound, TX 75028 | 2017-01-24 |
| 1033661194 | Rsquared Healthcare Solutions & Consulting | Dentist | 2121 Lavender Lane, Flower Mound, TX 75028 | 2016-10-25 |
| 1912450578 | Jeannie Jin Wang | Dentist | 4421 Long Prairie Rd., #400, Flower Mound, TX 75028 | 2016-08-01 |
| 1700232121 | Carla Upperman-xu | Pediatrics | 2560 Central Park Ave, Suite 195, Flower Mound, TX 75028 | 2016-05-05 |
| 1487015731 | Bincy Philip | Nurse Practitioner | 500 Flower Mound Rd, Suite 102, Flower Mound, TX 75028 | 2016-03-15 |
| 1710369491 | Medical Massage Rx | Chiropractor | 2616 Long Prairie Rd., Suite 101, Flower Mound, TX 75028 | 2015-06-18 |
| 1821485673 | Audrey Morris | Nurse Practitioner | 4441 Long Prairie Road, Suite 400, Flower Mound, TX 75028 | 2015-04-20 |
| Find all providers in zip 75028 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013556232 | Flower Mound Texas Dental | Clinic/Center | 3401 Cross Timbers Rd Ste 100, Flower Mound, TX 75028-2900 | 2020-01-06 |
| 1215589650 | Iso Center LLC | Clinic/Center | 6011 Morriss Rd Ste 200, Flower Mound, TX 75028-4808 | 2019-07-16 |
| 1811121460 | Orthodontic Professionals | Clinic/Center | 4030 Justin Road (fm 407), Suite 100, Flower Mound, TX 75077 | 2009-05-12 |
| 1295371292 | Lakshmi Sona, Pllc | Clinic/Center | 4271 Esplanade Pl Ste 120, Flower Mound, TX 75028-2206 | 2019-11-25 |
| 1609383033 | 6 Day Dental Group - Flower Mound, Pllc | Clinic/Center | 6050 Long Prairie Rd Ste 100, Flower Mound, TX 75028-5613 | 2018-01-08 |
| 1205117736 | Christy Caffey-earle, Dds, Pa | Clinic/Center | 3301 Long Prairie Rd, Suite 110, Flower Mound, TX 75022-2702 | 2011-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053587 | David Cheng, Pllc | Clinic/Center | 1708 Spring Green Blvd Ste 195, Katy, TX 77494-7462 | 2020-11-04 |
| 1710587431 | Mysa Dental Pllc | Clinic/Center | 13762 Potranco Rd, Suite 400, San Antonio, TX 78253 | 2020-10-30 |
| 1952901753 | Hq Dental Design | Clinic/Center | 3011 Dawn Dr Ste 105, Georgetown, TX 78628-2827 | 2020-10-29 |
| 1821698788 | All About Smiles Pllc | Clinic/Center | 6420 N Macarthur Blvd Ste 120, Irving, TX 75039-2838 | 2020-10-29 |
| 1659971901 | Qs Dental Partners Pllc | Clinic/Center | 7109 Katy Gaston Road, Suite 400, Richmond, TX 77406 | 2020-10-27 |
| 1154920023 | Deja Opusunju Dmd Pllc | Clinic/Center | 25031 Westheimer Pkwy Ste 200, Katy, TX 77494-7317 | 2020-10-22 |
| 1639776040 | Usck Pllc | Clinic/Center | 7598 N Mesa St Ste 208, El Paso, TX 79912-3521 | 2020-10-08 |
| 1962009373 | Woodforest Dental Loft | Clinic/Center | 2300 Woodforest Pkwy N Ste 700, Montgomery, TX 77316-6503 | 2020-10-08 |
| 1932706173 | Crossway Dental Care Pllc | Clinic/Center | 16616 San Pedro Ave, San Antonio, TX 78232-2223 | 2020-10-01 |
| 1184230302 | Mi Dentista | Clinic/Center | 3101 W Davis St, Dallas, TX 75211-2921 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | FLOWER MOUND |
| Zip Code | 75028 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.