Active NPI
Sydney Fisher
- General Practice Dentistry
- Indianapolis, IN
National Provider Identifier
1174469886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12015084A
- Practice address
- 9465 Counselors Row Ste 200
Indianapolis, IN 46240-3817 - Phone
- (646) 590-4234
- NPI assigned
- Apr 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12015084A | IN | Primary |
Addresses
Primary practice location
9465 Counselors Row Ste 200
Indianapolis, IN 46240-3817
Mailing address
649 S 34TH CT
West Des Moines, IA 50265-7995
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State University of Iowa | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Coralville, IA
- NPI 1851371561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1174469886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 S 34TH CT",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502657995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9465 COUNSELORS ROW STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462403817",
"telephone_number": "646-590-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "SYDNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-25",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12015084A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.