Active NPI
Nicole Annette Fleming, DMD
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1851350060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 050792
- Practice address
- 3145 Garden Avenue
Fort Sam Houston Budge Dental Clinic
San Antonio, TX 78234 - Phone
- (210) 808-3672
- NPI assigned
- Mar 17, 2006
- Last updated
- Mar 15, 2023
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 050792 | NY | Primary |
Addresses
Primary practice location
3145 Garden Avenue
Fort Sam Houston Budge Dental Clinic
San Antonio, TX 78234
Mailing address
3145 Garden Avenue
Fort Sam Houston Budge Dental Clinic
San Antonio, TX 78234
Phone (210) 808-3735
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
| License | State | Type | Specialty |
|---|---|---|---|
| 050792 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1851350060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3145 GARDEN AVENUE",
"address_2": "FORT SAM HOUSTON BUDGE DENTAL CLINIC",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-808-3735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3145 GARDEN AVENUE",
"address_2": "FORT SAM HOUSTON BUDGE DENTAL CLINIC",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-808-3672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "NICOLE",
"middle_name": "ANNETTE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2023-03-15",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "050792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.