Individual provider Active NPI

Jeffrey Dee Fleigel III, D.M.D, M.S.

  • Prosthodontics
  • Austin, TX
National Provider Identifier
1336357748
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN17200 Issued in FL
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

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
006240700MedicaidFL

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

LicenseStateTypeSpecialty
DN17200FLMDDentist

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.

Verify at the official NPI Registry.