Individual provider Active NPI

Elizabeth Hungerford Fleck

  • Dentist
  • Norwalk, IA
National Provider Identifier
1225486715
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
09282 Issued in IA
Practice address
1101 Chatham Ave
Norwalk, IA 50211-9658
Phone
(515) 256-9000
NPI assigned
May 25, 2016
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 09282 IA Primary

Addresses

Primary practice location

1101 Chatham Ave
Norwalk, IA 50211-9658

Mailing address

1101 Chatham Ave
Norwalk, IA 50211-9658
Phone (515) 256-9000

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

LicenseStateTypeSpecialty
09282IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Norwalk Family Dentistry LLC Dentist Current Accepting new patients

Locations

1101 Chatham Ave
Norwalk, IA 50211
Phone (515) 256-9000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1225486715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CHATHAM AVE",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502119658",
            "telephone_number": "515-256-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CHATHAM AVE",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502119658",
            "telephone_number": "515-256-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECK",
        "first_name": "ELIZABETH",
        "middle_name": "HUNGERFORD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "09282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.