Active NPI
Stanley Louis Fleming, DDS MS
- Dentist
- Durham, NC
National Provider Identifier
1174639512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3995
- Practice address
- 601 Fayetteville St
Suite 100
Durham, NC 27701 - Phone
- (919) 688-8949
- Fax
- (919) 688-6068
- NPI assigned
- Aug 21, 2006
- 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 | 3995 | NC | Primary |
Addresses
Primary practice location
601 Fayetteville St
Suite 100
Durham, NC 27701
Mailing address
601 Fayetteville St
Suite 100
Durham, NC 27701
Phone (919) 688-8949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8992769 | Medicaid | NC |
Other names 1
- Stanley L Fleming
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3995 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174639512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 FAYETTEVILLE ST",
"address_2": "SUITE 100",
"city": "DURHAM",
"state": "NC",
"postal_code": "27701",
"telephone_number": "919-688-8949",
"fax_number": "919-688-6068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 FAYETTEVILLE ST",
"address_2": "SUITE 100",
"city": "DURHAM",
"state": "NC",
"postal_code": "27701",
"telephone_number": "919-688-8949",
"fax_number": "919-688-6068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "STANLEY",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "3995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8992769",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STANLEY",
"last_name": "FLEMING",
"middle_name": "L",
"credential": "DDS PA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Durham, NC
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.