Active NPI
Jeffrey Dee Fleigel III, D.M.D, M.S.
- Prosthodontics
- Austin, TX
National Provider Identifier
1336357748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN17200
- Practice address
- 7200 N Mopac Expy
#215
Austin, TX 78731-3069 - Phone
- (512) 345-6081
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DN17200 | FL | Primary |
| Dentist | 122300000X | DN17200 | FL | |
| General Practice Dentistry | 1223G0001X | DN17200 | FL |
Addresses
Primary practice location
7200 N Mopac Expy
#215
Austin, TX 78731-3069
Mailing address
8602 Silver Ridge Dr
Austin, TX 78759-8145
Phone (352) 362-5761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006240700 | Medicaid | FL |
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 |
|---|---|---|---|
| DN17200 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1336357748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8602 SILVER RIDGE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598145",
"telephone_number": "352-362-5761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 N MOPAC EXPY",
"address_2": "#215",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313069",
"telephone_number": "512-345-6081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEIGEL",
"first_name": "JEFFREY",
"middle_name": "DEE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.M.D, M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "FL",
"license": "DN17200",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN17200",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN17200",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006240700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.