Dennis Ray Fleetwood, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DPM157 Issued in TN

Practice address

1989 Odessa Cir
The Villages, FL 32162-3830

Phone

(901) 412-3664

NPI assigned

Jun 18, 2015

Sex

Male

Sole proprietor

Yes

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1477934198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 ODESSA CIR",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321623830",
            "telephone_number": "901-412-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 ODESSA CIR",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321623830",
            "telephone_number": "901-412-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEETWOOD",
        "first_name": "DENNIS",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Gail Few, LCPC, MA, NCC
• Diane Fiore, MS, OTR/L
• Angela Fiscina, AUD
• Brian David Fisher, O.D.
• James F Flaherty, DO
• Herman M Flink, MD
• Victor Simmons Flores, M.D.
• Florian Gegaj MD Epcp LLC
• Florian Gegaj MD LLC (Cleveland Health Center)
• Florida Cancer Specialists & Research Institute, LLC

• Podiatrist in The Villages, FL
• Providers in The Villages, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.