Daniel J Fish DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DANIEL J FISH DDS INC

Practice address

2630 E Citizens Dr Ste 8
Fayetteville, AR 72703-4797

Phone

(479) 409-5097

NPI assigned

Jan 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Joseph Fish, DDSNPI 1225568264

Title

Dentist

Phone

(479) 409-5097

Specialties & licenses 1

Addresses

Other names 1

• Fish Family Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Joseph Fish, DDS

  • Dentist
  • Fayetteville, AR
  • NPI 1225568264
  NPD (past) Authorized official

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1023657343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 N AUTUMN CT",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036273",
            "telephone_number": "479-409-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 E CITIZENS DR STE 8",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034797",
            "telephone_number": "479-409-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J FISH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-409-5097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fish Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maya Olive Damet-Powell, LCSW
• Andres Damian
• Kimberly Rachel Dampier, M.S., C.C.C., SLP
• Danell Will, LPC, LLC
• Minh-Tam Dang, MD
• Jess Hatchet Daniel, M.D.
• Lance Daniel I, OD
• Sarah Daniels, MS, LPC
• Shamekia Daniels
• Kelly Richard Danks, MD

• Dentist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.