Brian R. Fisher

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIAN R. FISHER

Practice address

843 S Garfield Ave
Traverse City, MI 49686-3468

Phone

(231) 941-1898

NPI assigned

Nov 11, 2020

Organization subpart

No

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

Authorized official

Name

Kimberly T Quinter

Title

Office Manager

Phone

(231) 941-1898

Specialties & licenses 1

Addresses

Other names 2

• Brian R. Fisher Former legal business name
• Denture Care Clinic Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian R Fisher, DDS

  • Denturist
  • Traverse City, MI
  • NPI 1457427106

  General Practice

  NPD

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1083216436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863468",
            "telephone_number": "231-941-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863468",
            "telephone_number": "231-941-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN R. FISHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "QUINTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-941-1898"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian R. Fisher",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Denture Care Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mackenzie Breithaupt
• Grace Antonia Breuer, M.D.
• Darcia Brewer, R.D.
• Brian D. Heeringa PC
• Brian J Chandler DC
• Brianna Chantel Brian, PHARMD
• Bridget M. Callaghan, LCSW, LLC
• Alison Briggs
• Deanne R Briggs, LPC, CAC III
• Janell Briggs, LPC

• General Practice Dentistry in Traverse City, MI
• Providers in Traverse City, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.