Benjamin Isaac Fischer, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

12012740A Issued in IN

Practice address

415 N 26TH St Ste 302
Lafayette, IN 47904-2893

Phone

(765) 448-6831

NPI assigned

Jul 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 16, 2021 through Feb 16, 2027

Medicare enrollment (NPD)

Not 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.

• Lafayette Endodontics, LLC

  • Dental Clinic/Center
  • Lafayette, IN
  • NPI 1932718335
  NPD Authorized official

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

{
    "created_epoch": "1498953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1194246942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST STE 302",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042893",
            "telephone_number": "765-448-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST STE 302",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042893",
            "telephone_number": "765-448-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "BENJAMIN",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-02",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012740A",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IN",
            "license": "12012740A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davion Finley
• Christine D Finney, O.D.
• Firelight Counseling LLC
• Steven A. Firestone, O.D.
• First Impressions Optometric Associates, LLC
• Patricia Ann Fischer, CRNP
• Jan Fisher, M.D.
• Molly Fisher, PA-C
• Fit Kidz Obesity Center LLC
• Jana L. Fix, M.D.

• Endodontics in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Endodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.