Active NPI
Michael J Fleming, DDS
- Dentist
- Oamaha, NE
National Provider Identifier
1043383383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4087
- Practice address
- 13057 West Center Rd
Oamaha, NE 68144 - Phone
- (402) 333-5337
- Fax
- (402) 333-5346
- NPI assigned
- Nov 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4087 | NE | Primary |
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 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4735 | Other | BCBS | |
| 47062934000 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4087 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043383383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13057 WEST CENTER RD",
"city": "OAMAHA",
"state": "NE",
"postal_code": "68144",
"telephone_number": "402-333-5337",
"fax_number": "402-333-5346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13057 WEST CENTER RD",
"city": "OAMAHA",
"state": "NE",
"postal_code": "68144",
"telephone_number": "402-333-5337",
"fax_number": "402-333-5346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "4087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4735",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47062934000",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.