Individual provider Active NPI

Donald Robert Fleming, DDS

  • Dentist
  • San Diego, CA
National Provider Identifier
1336250216
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS 22215CA Issued in CA
Practice address
7676 Jackson Dr
San Diego, CA 92119-1500
Phone
(619) 582-3600
Fax
(619) 582-9406
NPI assigned
Aug 31, 2006
Last updated
May 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS 22215CA CA Primary

Addresses

Primary practice location

7676 Jackson Dr
San Diego, CA 92119-1500

Mailing address

7676 Jackson Dr
San Diego, CA 92119-1500
Phone (619) 582-3600

Other names 1

  • Donald R Fleming Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150520001905 CA Order and Referring Only - Other (Non-Physician) 8123348810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS 22215CACAMDDentist

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1336250216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7676 JACKSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191500",
            "telephone_number": "619-582-3600",
            "fax_number": "619-582-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 JACKSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191500",
            "telephone_number": "619-582-3600",
            "fax_number": "619-582-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "DONALD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS 22215CA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONALD",
            "last_name": "FLEMING",
            "middle_name": "R",
            "credential": "DDS CORPORATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.