NPIMap

Organization Active NPI

David N Fishman DDS PC

  • Dentist
  • Basalt, CO
National Provider Identifier
1164436580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7080 Issued in CO
Legal business name
DAVID N FISHMAN DDS PC
Practice address
23264 Two Rivers Rd
Basalt, CO 81621
Phone
(970) 927-3776
Fax
(970) 927-9015
NPI assigned
Jul 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David N Fishman, DDSNPI 1053523290
Title
President
Phone
(970) 927-3776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7080 CO Primary

Addresses

Primary practice location

23264 Two Rivers Rd
Basalt, CO 81621

Mailing address

PO Box 1597
Basalt, CO 81621
Phone (970) 927-3776

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164436580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1597",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "81621",
            "telephone_number": "970-927-3776",
            "fax_number": "970-927-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23264 TWO RIVERS RD",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "81621",
            "telephone_number": "970-927-3776",
            "fax_number": "970-927-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID N FISHMAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-927-3776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.