Steven Fishbaine, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS023721L Issued in PA

Practice address

476 Rolling Ridge Dr
Suite 110
State College, PA 16801-7639

Phone

(814) 238-6800

Fax

(814) 238-0068

NPI assigned

Nov 1, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043398415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 ROLLING RIDGE DR",
            "address_2": "SUITE 110",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017639",
            "telephone_number": "814-238-6800",
            "fax_number": "814-238-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 ROLLING RIDGE DR",
            "address_2": "SUITE 110",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017639",
            "telephone_number": "814-238-6800",
            "fax_number": "814-238-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBAINE",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023721L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Warren Figart, DO
• Derrill C. Finch, D.D.S.
• Jill Renee Finke, O.D.
• Sarah Beth Finocchiaro, CRNP,APN
• Jay Michael Fiore, MD
• Bailey Olivia Fisher, DMD
• John Bennett Fisher, PT
• Mary Ellen Fisher, MD
• Fit for Play, Inc
• Fitness Consultants Inc.

• General Practice Dentistry in State College, PA
• Providers in State College, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.