Paul Fjeldsted, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61463 Issued in CA

Practice address

8375 University Ave
La Mesa, CA 91942-9342

Phone

(619) 469-2902

NPI assigned

Jul 27, 2012

Last updated

Feb 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Paul Fjeldsted DDS Inc

  • Dental Clinic/Center
  • La Mesa, CA
  • NPI 1730644170
  NPD (past) Authorized official
• Thomas J. Olinger Apc

  • Dentist
  • La Mesa, CA
  • NPI 1659402394
  NPD (past)

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1427304435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8375 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429342",
            "telephone_number": "619-469-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429342",
            "telephone_number": "619-469-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FJELDSTED",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Firsowicz, MD
• Firstsight Vision Services, Inc.
• Marykay Fisher, PSY.D.
• Trevor Louis Fitzgerald
• Vanessa Fitzgerald
• David Christopher Flamenco, D.D.S.
• Jamie Flechsig, HHP
• Robert Joseph Fleming Jr., RPT
• Flipit Medical Systems LLC
• Flora I Danque MD Inc

• Dentist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.