Dane R Fliedner, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A76363 Issued in CA

Practice address

1601 Dove St
Suite 276
Newport Beach, CA 92660-2433

Phone

(949) 788-1111

Fax

(949) 788-1110

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, DE, PA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Pediatric Medicine

Education

New York Medical College, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lighthouse Complex Care of Delaware IncGroup PAC ID 5597127373, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dane.fliedner@3141477138436.direct.elationemr.com
• Direct secure messaging: dane.fliedner.1@30254.direct.athenahealth.com
• Direct secure messaging: dane.fliedner.1@20145.direct.athenahealth.com

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.

• Lighthouse Complex Care of Delaware Inc

  • Multi-Specialty Clinic/Center
  • Wilmington, DE
  • NPI 1720797251

  PA, Pediatrics

  Medicare reassignment Care Compare group NPD
• Lighthouse Complex Care LTD

  • Family Medicine Physician
  • Aurora, CO
  • NPI 1134781057

  Pediatrics

  Medicare reassignment NPD
• Raising Sages Integrative Pediatrics, Inc.

  • Pediatrics Physician
  • Newport Beach, CA
  • NPI 1750799680
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• PM Pediatrics of Delaware PA

  • Pediatrics Physician
  • Newark, DE
  • NPI 1316691371
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1164568655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12257",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926585057",
            "telephone_number": "949-788-1111",
            "fax_number": "949-788-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST",
            "address_2": "SUITE 276",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602433",
            "telephone_number": "949-788-1111",
            "fax_number": "949-788-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIEDNER",
        "first_name": "DANE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M5161",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A76363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Fleming, PH.D.
• Kristy Faye Fleming, M.D.
• Brittany Fletes, NP
• Oswaldo Fletes
• FLH Professional Corporation
• Darcy Sue Flint, DPT, OCS
• Rhonda Flora, M.D.
• Jill Sander Floray
• Florece Family Services Inc
• Amanda Rae Flores Taylor, LMFT

• Pediatrics Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.