Brian Fischer, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2004014733 Issued in MO

Practice address

601 Business Loop 70 West
Suite 216C
Columbia, MO 65203

Phone

(573) 214-2314

Fax

(573) 442-5208

NPI assigned

Oct 19, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073502266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W WORLEY ST",
            "address_2": "FAMILY DENTAL CENTER",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032037",
            "telephone_number": "573-214-2314",
            "fax_number": "573-442-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BUSINESS LOOP 70 WEST",
            "address_2": "SUITE 216C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-214-2314",
            "fax_number": "573-442-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2004014733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIF",
            "identifier": "1073502266",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Finkel, M.D.
• Erin Elizabeth Finkeldei
• Samantha Jordan Finley
• Dawn Marie Finney, CPM
• First Steps
• Casey M Fischer, MSN, FPMHNP
• Jordan Marie Fischer, RDH
• Melissa K Fischer, FNP
• Cortney Allison Fish, MSW, BCBA, LBA
• Philip Fish, M.D.

• Dentist in Columbia, MO
• Providers in Columbia, MO by specialty
• Dentist in Missouri

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.