Michael J Fleming, DDS
Individual provider Active NPI Dentist · Oamaha, NE
NPI 1043383383 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043383383
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4087 (NE)
- Practice address
- 13057 West Center Rd
Oamaha, NE 68144 - Phone
- (402) 333-5337
- Fax
- (402) 333-5346
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4087 | NE | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4087 | NE | Yes |
Addresses
Primary practice location
13057 West Center Rd
Oamaha, NE 68144
Mailing address
13057 West Center Rd
Oamaha, NE 68144
Phone (402) 333-5337
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4735 | Other | BCBS | |
| 47062934000 | Medicaid | NE |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.