Individual provider Active NPI

Emily Grace Fischer, RDH

  • Dental Hygienist
  • Marion, IL
National Provider Identifier
1134836455
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
020.013302 Issued in IL
Practice address
7562 Old Route 13
Marion, IL 62959-7776
Phone
(618) 993-8333
Fax
(618) 993-8335
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
020.013302ILMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Safari Co Missouri, PC CurrentSince Nov 12, 2023 Accepting new patients
Dental Safari Company, LTD CurrentSince Mar 24, 2025 Accepting new patients

Locations

7562 Old Route 13
Marion, IL 62959
Phone (618) 559-0171

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 020.013302 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

7562 Old Route 13
Marion, IL 62959-7776

Mailing address

7562 Old Route 13
Marion, IL 62959-7776
Phone (618) 993-8333

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 7, 2022.

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1134836455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7562 OLD ROUTE 13",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629597776",
            "telephone_number": "618-993-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7562 OLD ROUTE 13",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629597776",
            "telephone_number": "618-993-8333",
            "fax_number": "618-993-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "EMILY",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020.013302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.