Charles Daniel Fisher, DENTIST

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000004867 Issued in TN

Practice address

6215 Riverview Crossing Dr Ste C
Knoxville, TN 37924-2839

Phone

(865) 546-7436

Fax

(865) 546-7259

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• MS PPO C-SNP
• TN PPO C-SNP
• MS PPO D-SNP
• KY PPO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain Dental P.C.

  • Dental Clinic/Center
  • Knoxville, TN
  • NPI 1225202898
  NPD (past) Authorized official
• Mountain Peoples Health Councils Inc

  • Dental Clinic/Center
  • Oneida, TN
  • NPI 1649635939
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1003961780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 RIVERVIEW CROSSING DR STE C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379242839",
            "telephone_number": "865-546-7436",
            "fax_number": "865-546-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 RIVERVIEW CROSSING DR STE C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379242839",
            "telephone_number": "865-546-7436",
            "fax_number": "865-546-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "CHARLES",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000004867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Anne Fish
• Lea Ann Fish
• Fisher Therapeutics
• Alicia Nash Fisher, MS-SLP
• Charles Brandon Fisher, D.O.
• Desaray Fisher, COTA
• Jessica Fisher, MA
• Keri Fisher, PA-C
• Leesa Fisher, RN
• Paul Douglas Fisher, PH.D.

• General Practice Dentistry in Knoxville, TN
• Providers in Knoxville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.