Individual provider Active NPI

Laura Ashleigh Fishel, DMD

  • Dentist
  • Red Lion, PA
National Provider Identifier
1053523076
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS036715 Issued in PA
Practice address
3125 Cape Horn Rd
Red Lion, PA 17356-9071
Phone
(717) 395-1443
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS036715 PA Primary

Addresses

Primary practice location

3125 Cape Horn Rd
Red Lion, PA 17356-9071

Mailing address

3125 Cape Horn Rd
Red Lion, PA 17356-9071
Phone (717) 395-1443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150929003226 PA Order and Referring Only - DentistPractitioner - Dentist 1951619642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS036715PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1053523076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569071",
            "telephone_number": "717-395-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569071",
            "telephone_number": "717-395-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHEL",
        "first_name": "LAURA",
        "middle_name": "ASHLEIGH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Lion, PA

Sources for this page

Verify at the official NPI Registry.