NPIMap

Organization Active NPI

Dexter K Flemming DDS Ms PC

Doing business as Michigan Center for Oral Surgery

  • Dental Clinic/Center
  • Woodhaven, MI
National Provider Identifier
1710153713
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901017976 Issued in MI
Legal business name
DEXTER K FLEMMING DDS MS PC
Doing business as
Michigan Center for Oral Surgery
Practice address
22150 Allen Rd
Woodhaven, MI 48183-2271
Phone
(734) 675-1520
Fax
(734) 675-2118
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. Dexter Kert Flemming, DDS MSNPI 1174663611
Title
Owner
Phone
(734) 675-1520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901017976 MI Primary

Addresses

Primary practice location

22150 Allen Rd
Woodhaven, MI 48183-2271

Mailing address

22150 Allen Rd
Woodhaven, MI 48183-2271
Phone (734) 675-1520

Other names 1

  • Michigan Center for Oral Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100211000062 MI Part B Supplier - Clinic/Group Practice 2860535960 Receives reassigned benefits from 1 practitioner
Practice locations: Southgate, MI

National Provider Directory

National Provider Directory
Tax ID family
Dexter K Flemming DDS Ms PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14600 Pennsylvania Rd
Southgate, MI 48195
Phone (734) 675-1520

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1710153713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22150 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832271",
            "telephone_number": "734-675-1520",
            "fax_number": "734-675-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22150 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832271",
            "telephone_number": "734-675-1520",
            "fax_number": "734-675-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEXTER K FLEMMING DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "FLEMMING",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "KERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-675-1520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901017976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Center for Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodhaven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.