Paul Neil Fluckiger, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN1855678 Issued in MA

Practice address

377 Cabot St
Beverly, MA 01915-3390

Phone

(617) 651-1186

NPI assigned

May 31, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1982998506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIN ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605509",
            "telephone_number": "617-532-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 CABOT ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153390",
            "telephone_number": "617-651-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUCKIGER",
        "first_name": "PAUL",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1855678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Flaherty
• Meaghan Winifred Flanagan, OTD, OTR/L
• Robert R Fleck I, MED, CAGS, LMHC, LSW
• Philip G Fleisher, LICSW
• Taryn M Flowers, NP
• Courtney Fogarty
• Shannon Lyn Fontaine, M.S.
• Rayna Elizabeth Fontana, LICSW
• Maria Alejandra Fontecha
• Forefront Dermatology, S.C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Beverly, MA
• Providers in Beverly, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.