FLATROCK FAMILY DENTISTRY, P.C. (NPI# 1215960976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215960976 |
| Entity Type | Organization |
| Organization Name | FLATROCK FAMILY DENTISTRY, P.C. |
| Other Organization Name | FLATROCK FAMILY DENTISTRY, P.C. |
| Practice Address |
1225 S Poplar St Suite 500 North Platte NE 69101-7785 |
| Practice Telephone | 3085348080 |
| Mailing Telephone | 3085348080 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2009-08-12 |
| Authorized Official Name | DR. DEREK PATRICK WALROD (PRESIDENT) |
| Authorized Official Telephone | 3085348080 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6052 | NE | Dental Providers |
| Other Name | Type Code |
|---|---|
| Flatrock Family Dentistry, P.C. | Former Legal Business Name - Organization |
| Street Address |
1225 S POPLAR ST SUITE 500 |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101-7785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962451229 | John Jeffrey Gutschenritter I | Optometrist | 1225 S Poplar St, Suite 400, North Platte, NE 69101-7785 | 2006-05-06 |
| 1265578652 | Clear Focus Eyecare LLC | Optometrist | 1225 S Poplar St, Suite 400, North Platte, NE 69101-7785 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
| Find all providers in zip 69101 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205320439 | Kellie Hansen | Dentist | 221 S Jeffers St Ste 1, North Platte, NE 69101-5371 | 2018-06-20 |
| 1427431790 | Eric Van Boening | Dentist | 2101 William Ave, North Platte, NE 69101-6384 | 2015-07-06 |
| 1801010848 | James Koopman States | Dentist | 112 W F St, North Platte, NE 69101-5345 | 2007-04-12 |
| 1184742504 | David L Swanson | Dentist | 721 E B St, North Platte, NE 69101-4248 | 2007-03-26 |
| 1639259856 | Lannae Lynn Phelps | Dentist | 221 S Jeffers St, Suite #1, North Platte, NE 69101-5371 | 2006-10-16 |
| 1184732380 | Joan E Albrecht | Dentist | 421 S Chestnut St, North Platte, NE 69101-5466 | 2006-08-28 |
| 1225053713 | Barrett R Klemm | Dentist | 115 E E St, North Platte, NE 69101-5535 | 2006-07-13 |
| 1992186043 | Lindsey Marie Pederson | Dentist | 221 S Jeffers St, 1, North Platte, NE 69101-5371 | 2015-06-15 |
| 1548641954 | David Perry | Dentist | 805 S Maple St, North Platte, NE 69101-5282 | 2015-06-11 |
| 1215257423 | Daniel Adam Woodburn | Dentist | 805 S Maple St, North Platte, NE 69101-5282 | 2010-06-10 |
| Find all providers in NORTH PLATTE | ||||
| City | NORTH PLATTE |
| Zip Code | 69101 |
Please comment or provide details below to improve the information on FLATROCK FAMILY DENTISTRY, P.C..
| 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.