Individual provider Active NPI

James L Fletcher

  • General Practice Dentistry
  • Greenfield, IN
National Provider Identifier
1730279183
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008785 Issued in IN
Practice address
86 W Muskegon Dr., Suite 1
Greenfield, IN 46140-3068
Phone
(317) 462-6560
Fax
(317) 462-7476
NPI assigned
Oct 14, 2006
Last updated
Jun 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12008785 IN Primary

Addresses

Primary practice location

86 W Muskegon Dr., Suite 1
Greenfield, IN 46140-3068

Mailing address

86 W Muskegon Dr., Suite 1
Greenfield, IN 46140-3068
Phone (317) 462-6560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150615000271 IN Order and Referring Only - DentistPractitioner - Dentist 0143484295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
12008785INMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1730279183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 W MUSKEGON DR., SUITE 1",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403068",
            "telephone_number": "317-462-6560",
            "fax_number": "317-462-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 W MUSKEGON DR., SUITE 1",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403068",
            "telephone_number": "317-462-6560",
            "fax_number": "317-462-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JAMES",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.