Active NPI
Carrie C Fletcher, DDS
- Dentist
- Dayton, OH
National Provider Identifier
1730353038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22529
- Practice address
- 2622 S Smithville Rd
Dayton, OH 45420-2642 - Phone
- (937) 252-0521
- Fax
- (937) 252-1090
- NPI assigned
- Apr 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22529 | OH | Primary |
Addresses
Primary practice location
2622 S Smithville Rd
Dayton, OH 45420-2642
Mailing address
2622 S Smithville Rd
Dayton, OH 45420-2642
Phone (937) 252-0521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 17, 2016 through Feb 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22529 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard L Fletcher DDS Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Tiffin, OH
- NPI 1982803870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1730353038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2622 S SMITHVILLE RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454202642",
"telephone_number": "937-252-0521",
"fax_number": "937-252-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2622 S SMITHVILLE RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454202642",
"telephone_number": "937-252-0521",
"fax_number": "937-252-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "CARRIE",
"middle_name": "C",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "22529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.