Paul Fletcher, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

31144 Issued in NY

Practice address

10 Rye Ridge PLZ
Suite 212
Rye Brook, NY 10573-2828

Phone

(914) 253-8020

Fax

(914) 253-9066

NPI assigned

May 4, 2009

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 22, 2016 through Feb 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rye Periodontics & Implant Dentistry PC

  • Periodontics
  • Rye Brook, NY
  • NPI 1275770695
  NPD (past)

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1457585572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RYE RIDGE PLZ",
            "address_2": "SUITE 212",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732828",
            "telephone_number": "914-253-8020",
            "fax_number": "914-253-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RYE RIDGE PLZ",
            "address_2": "SUITE 212",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732828",
            "telephone_number": "914-253-8020",
            "fax_number": "914-253-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "31144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A. Fiscella Jr., R.PH
• Danielle Renee Fischbein, MS
• Debra Anne Fisher, MFA OTR L
• Deanne Brooke Fitzpatrick, PHD
• Rachel Wade Fleming, MS, OTR/L
• Lina Fox, CCC-SLP
• Susan C. Friedman, D.C.
• Teri Ann Friedman, PH.D.
• Donna Marie Fung-Grossman
• Tara M Gallagher, MA, CCC-SLP

• Periodontics in Rye Brook, NY
• Providers in Rye Brook, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.