Individual provider Active NPI

Devyn Fleischhacker, DDS

  • Pediatric Dentistry
  • North Babylon, NY
National Provider Identifier
1588303192
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
064218 Issued in NY
Practice address
1476 Deer Park Ave Ste 1200
North Babylon, NY 11703-1200
Phone
(631) 254-5437
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0442000449 VA
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Dentistry 1223P0221X 064218 NY Primary

Addresses

Primary practice location

1476 Deer Park Ave Ste 1200
North Babylon, NY 11703-1200

Mailing address

25 S Oyster Bay Rd
Syosset, NY 11791-5002
Phone (516) 365-5439

Other practice location 1

25 S Oyster Bay Rd
Syosset, NY 11791-5002
Phone (516) 365-5439

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

State licenses

LicenseStateTypeSpecialty
0442000449VAMDDentist
064218NYMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1588303192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S OYSTER BAY RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915002",
            "telephone_number": "516-365-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 DEER PARK AVE STE 1200",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031200",
            "telephone_number": "631-254-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 S Oyster Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117915002",
            "country_code": "US",
            "telephone_number": "516-365-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEISCHHACKER",
        "first_name": "DEVYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0442000449",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "064218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.