Organization Active NPI

Dr Klara Fleysh DDS SC

  • Dentist
  • Milwaukee, WI
National Provider Identifier
1336247188
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4839015 Issued in WI
Legal business name
DR KLARA FLEYSH DDS SC
Practice address
1714 E Capitol Drive
Milwaukee, WI 53211
Phone
(414) 963-0950
Fax
(414) 228-1356
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Klara Fleysh, DDSNPI 1710216494
Title
President
Phone
(414) 963-0950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4839015 WI Primary

Addresses

Primary practice location

1714 E Capitol Drive
Milwaukee, WI 53211

Mailing address

1714 E Capitol Drive
Milwaukee, WI 53211
Phone (414) 963-0950

Other identifiers 1

IdentifierTypeStateIssuer
33736600MedicaidWI

National Provider Directory

National Provider Directory

Locations

1714 E Capitol Dr
Shorewood, WI 53211
Phone (414) 963-0950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336247188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 E CAPITOL DRIVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53211",
            "telephone_number": "414-963-0950",
            "fax_number": "414-228-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 E CAPITOL DRIVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53211",
            "telephone_number": "414-963-0950",
            "fax_number": "414-228-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KLARA FLEYSH DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLEYSH",
        "authorized_official_first_name": "KLARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-963-0950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "4839015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33736600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.