Klara Fleysh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4839-015 Issued in WI

Practice address

1714 E Capitol Dr
Shorewood, WI 53211-1910

Phone

(414) 063-0950

Fax

(414) 963-0950

NPI assigned

Dec 9, 2009

Last updated

Dec 10, 2009By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Klara Fleysh DDS SC

  • Dentist
  • Milwaukee, WI
  • NPI 1336247188
  NPD (past) Authorized official

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1710216494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 E CAPITOL DR",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111910",
            "telephone_number": "414-063-0950",
            "fax_number": "414-963-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 E CAPITOL DR",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111910",
            "telephone_number": "414-063-0950",
            "fax_number": "414-963-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEYSH",
        "first_name": "KLARA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4839-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33736600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah G Draver
• Wilhelmina Duncan, M.S.S.W.
• Stephanie Lynn Emery
• Michelle Fahrnow, MS, LPC-IT
• Mary E Fazio, R.N.
• Foot & Ankle Health Center, S.C.
• Marybeth Francis, DMD
• Ailsa Freytag
• Cassandra Gabor, RN
• Lori Ann Garfinkel, PSYD, LPC

• General Practice Dentistry in Shorewood, WI
• Providers in Shorewood, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.