Individual provider Active NPI

Courtney W Fleming, D.D.S

  • Dentist
  • Lima, OH
National Provider Identifier
1649322652
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.021749 Issued in OH
Practice address
1702 Allentown Rd
Lima, OH 45805-1845
Phone
(419) 222-0693
Fax
(419) 879-6478
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21749 OH
Dentist 122300000X 30.021749 OH Primary

Addresses

Primary practice location

1702 Allentown Rd
Lima, OH 45805-1845

Mailing address

1702 Allentown Rd
Lima, OH 45805-1845
Phone (419) 222-0693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20150428000208 OH Order and Referring Only - DentistPractitioner - Dentist 5597084434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.021749OHMDDentist
21749OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ollom Community Dental, LLC CurrentSince Jan 15, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Fleming Family Dental LLC Dentist Past Accepting new patients
Kenton Dental Care Saliba Fleming & Holland LLC Dentist Past Accepting new patients

Locations

1702 Allentown Rd
Lima, OH 45805
Phone (419) 222-0693

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1649322652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051845",
            "telephone_number": "419-222-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051845",
            "telephone_number": "419-222-0693",
            "fax_number": "419-879-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "COURTNEY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-01-11",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21749",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.021749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.