Allen Fred Fielding, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS016909L Issued in PA

Practice address

101 E Lehigh Ave
PM2
Philadelphia, PA 19125-1011

Phone

(215) 707-3613

Fax

(215) 707-5405

NPI assigned

Sep 26, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

Other, 1963

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delaware Valley Maxillofacial and Oral Surgery LLCGroup PAC ID 3072567197, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Delaware Valley Maxillofacial & Oral Surgery LLC

  dba Southeastern Pa Oral Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Philadelphia, PA
  • NPI 1073641148
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1568563070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E LEHIGH AVE",
            "address_2": "PM2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251011",
            "telephone_number": "215-707-3613",
            "fax_number": "215-707-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E LEHIGH AVE",
            "address_2": "PM2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251011",
            "telephone_number": "215-707-3613",
            "fax_number": "215-707-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDING",
        "first_name": "ALLEN",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS016909L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "0582812",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01684301",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE CENTRAL",
            "identifier": "2000631",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "0060874000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Field, MD
• Marissa Field
• Maxine M. Field, PH D
• Nicholas Gregory Field, PHARMD
• Rebecca Field
• Yvonne Christine Fields-Woodson, AAS BSW MSW
• Alexandra Fields, CNM
• Alfred Emanuel Fields Jr.
• Amina Nailah Fields, LCSW
• Barry Grant Fields, MD

• Oral and Maxillofacial Surgery (Dentist) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.