Donald Brent Fissel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.018848 Issued in OH

Practice address

112 S Kibler St
New Washington, OH 44854-9301

Phone

(419) 492-2024

Fax

(419) 492-2024

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205045903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S KIBLER ST",
            "city": "NEW WASHINGTON",
            "state": "OH",
            "postal_code": "448549301",
            "telephone_number": "419-492-2024",
            "fax_number": "419-492-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S KIBLER ST",
            "city": "NEW WASHINGTON",
            "state": "OH",
            "postal_code": "448549301",
            "telephone_number": "419-492-2024",
            "fax_number": "419-492-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISSEL",
        "first_name": "DONALD",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.018848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0709004",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Buckeye Central Local
• Lauren Chester, DPT, PT
• Christine Close
• Community Health Associates (GCH Physician Practices, New Washington Campus)
• Brad Christopher Ehrman, PTA
• Galion Community Hospital (GCH Physician Practice, New Washington Campus)
• Healthstat Onsite Clinic HSM New Washington Oh
• Brian David Hobbs
• Leerose Hobbs
• Fereshte Khavari, M.D.

• General Practice Dentistry in New Washington, OH
• Providers in New Washington, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.