Active NPI
Alexandre Ap Fleury, D.D.S., M.S.
- Endodontics
- Dallas, TX
National Provider Identifier
1013040070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 21848
- Practice address
- 9090 Skillman St
Dallas, TX 75243-8259 - Phone
- (214) 342-0425
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 21848 | TX | Primary |
Addresses
Primary practice location
9090 Skillman St
Dallas, TX 75243-8259
Mailing address
4416 Cutter Springs CT
Plano, TX 75024-3875
Phone (214) 597-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161103001011 | TX | Order and Referring Only - Oral Surgery | 2668750118 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21848 | TX | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endodontic Associates of Frisco, PLLC | Endodontics | Past | Accepting new patients |
| Endodontic Associates of Carrollton PLLC | Endodontics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endodontics
- Carrollton, TX
- NPI 1588007819
-
- Endodontics
- Dallas, TX
- NPI 1215397815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013040070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4416 CUTTER SPRINGS CT",
"city": "PLANO",
"state": "TX",
"postal_code": "750243875",
"telephone_number": "214-597-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9090 SKILLMAN ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752438259",
"telephone_number": "214-342-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEURY",
"first_name": "ALEXANDRE",
"middle_name": "AP",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "21848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.