Judith M Fisch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1055 Issued in VT

Practice address

204 N Main St
Rutland, VT 05701-2411

Phone

(802) 775-2218

NPI assigned

Jan 8, 2007

Sex

Female

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 VT

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

Locations

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.

• Green Mountain Dental Sleep Center

  • Durable Medical Equipment & Medical Supplies
  • Rutland, VT
  • NPI 1326500141
  NPD Authorized official
• Heaton & Fisch Dental Associates

  • General Practice Dentistry
  • Rutland, VT
  • NPI 1013065218
  NPD (past) Authorized official
• Dr Donald P McLaughlin PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rutland, VT
  • NPI 1477760395
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579305600000",
    "number": "1114075249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012411",
            "telephone_number": "802-775-5286",
            "fax_number": "802-775-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012411",
            "telephone_number": "802-775-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCH",
        "first_name": "JUDITH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "1055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004586",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William B Ferriter Jr., D.P.M.
• Zita Ficko, MD
• Kerry Brennan Finch, P.A.-C
• Patricia Finlayson
• Martin James Fino, PH.D.
• Connie Fisk, N.P.
• Julie E Fitzgibbons, MA
• Jessica A Flaherty
• Keith Bryan Flaherty
• Michael Flanagan, PHD

• General Practice Dentistry in Rutland, VT
• Providers in Rutland, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; 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.