Stephanie Fisher

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

058125 Issued in NY

Practice address

28 Clinton St
Suite 7
Saratoga Springs, NY 12866-2391

Phone

(518) 935-0068

NPI assigned

Jun 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake Dental of Saratoga, PC

  • General Practice Dentistry
  • Saratoga Springs, NY
  • NPI 1801196134
  NPD (past)

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1083029136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CLINTON ST",
            "address_2": "SUITE 7",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662391",
            "telephone_number": "518-935-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CLINTON ST",
            "address_2": "SUITE 7",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662391",
            "telephone_number": "518-935-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William E Field II, MD
• Edward Finger, DPM
• Julie G Fink-Sullivan, PSY D
• Tracey L Fish
• Stacy Kristina Fisher
• William T Fisher, MD
• Diane S Fitzgerald, LCSW
• Sharon Fitzgerald, MA IN MFT
• John Fitzpatrick, RN
• Cathy Concetta Fleming, LCSW

• General Practice Dentistry in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.