Active NPI
Matthew S Fisher, DMD
- Pediatric Dentistry
- Albuquerque, NM
National Provider Identifier
1043234107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN10487
- Practice address
- 9169 Coors Rd. NW
Albuquerque IHS Dental Clinic
Albuquerque, NM 87120 - Phone
- (505) 346-2306
- Fax
- (505) 346-2311
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN10487 | FL | Primary |
Addresses
Primary practice location
9169 Coors Rd. NW
Albuquerque IHS Dental Clinic
Albuquerque, NM 87120
Mailing address
323 Wellesley Dr SE
Albuquerque, NM 87106-1421
Phone (505) 922-4238
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 |
|---|---|---|---|
| DN10487 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043234107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 WELLESLEY DR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871061421",
"telephone_number": "505-922-4238",
"fax_number": "505-346-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9169 COORS RD. NW",
"address_2": "ALBUQUERQUE IHS DENTAL CLINIC",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87120",
"telephone_number": "505-346-2306",
"fax_number": "505-346-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "MATTHEW",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN10487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
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.