Active NPI
Christina K Fleming
- Periodontics
- Louisville, KY
National Provider Identifier
1013548551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 00205572
- Practice address
- 1112 Poplar Level PLZ Apt 26
Louisville, KY 40217-1337 - Phone
- (423) 863-1701
- NPI assigned
- Feb 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 00205572 | CO | Primary |
Addresses
Primary practice location
1112 Poplar Level PLZ Apt 26
Louisville, KY 40217-1337
Mailing address
1112 Poplar Level PLZ Apt 26
Louisville, KY 40217-1337
Phone (423) 863-1701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 8, 2024 through Oct 8, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00205572 | CO | MD | Periodontist |
Networks
- CO HMO D-SNP
- NM HMO C-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1013548551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 POPLAR LEVEL PLZ APT 26",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171337",
"telephone_number": "423-863-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 POPLAR LEVEL PLZ APT 26",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171337",
"telephone_number": "423-863-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "CHRISTINA",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CO",
"license": "00205572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.