Individual provider Active NPI

Alexander Fligelman, DMD

  • Dentist
  • Phila, PA
National Provider Identifier
1679597488
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
030964 Issued in PA
Practice address
3162 Richmond St FL 1
Phila, PA 19134-5827
Phone
(215) 739-8008
Fax
(215) 739-8022
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 030964 PA Primary

Addresses

Primary practice location

3162 Richmond St FL 1
Phila, PA 19134-5827

Mailing address

68 Kasi Cir
Warminster, PA 18974-1652
Phone (215) 444-0737

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
030964PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Port Richmond Dental Center CurrentSince Nov 15, 2020 Accepting new patients

Organizations & group practices 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1679597488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 KASI CIR",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189741652",
            "telephone_number": "215-444-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 RICHMOND ST FL 1",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191345827",
            "telephone_number": "215-739-8008",
            "fax_number": "215-739-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIGELMAN",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "030964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.