Individual provider Active NPI

Amelia P Flemming, R.D.H.

  • Dental Hygienist
  • New York, NY
National Provider Identifier
1922175272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
018202-1 Issued in NY
Practice address
1225 Gerard Ave Bronx N Y 10452
New York, NY 10452
Phone
(718) 960-2932
Fax
(718) 960-2609
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 018202-1 NY Primary

Addresses

Primary practice location

1225 Gerard Ave Bronx N Y 10452
New York, NY 10452

Mailing address

1321 University Ave Bronx N.Y. 10452
New York, NY 10452
Phone (718) 960-2932

Other names 1

  • Mrs. Amelia P. Hazel Other name

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

LicenseStateTypeSpecialty
018202-1NYMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922175272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 UNIVERSITY AVE BRONX N.Y. 10452",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10452",
            "telephone_number": "718-960-2932",
            "fax_number": "718-960-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 GERARD AVE BRONX N Y 10452",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10452",
            "telephone_number": "718-960-2932",
            "fax_number": "718-960-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMMING",
        "first_name": "AMELIA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "R.D.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "018202-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "HAZEL",
            "middle_name": "P.",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.