Individual provider Active NPI

Richard Michael Fisher, DMD

  • General Practice Dentistry
  • Salem, OH
National Provider Identifier
1235235268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18452 Issued in OH
Practice address
130 Rose Ave
Salem, OH 44460-2246
Phone
(330) 337-7400
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18452 OH Primary

Addresses

Primary practice location

130 Rose Ave
Salem, OH 44460-2246

Mailing address

130 Rose Ave
Salem, OH 44460-2246
Phone (330) 337-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190926003546 OH Practitioner - Dentist 2163752528 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18452OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Agency of Columbiana County, Inc CurrentSince Jul 31, 2019 Accepting new patients
Community Action Agency of Columbiana County Inc CurrentSince Jul 31, 2019 Accepting new patients
Community Action Agency of Columbiana County Inc Current Accepting new patients
Community Action Agency of Columbiana County Inc Past Accepting new patients

Locations

16480 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-7777

16494 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-7870

38722 Saltwell Rd
Lisbon, OH 44432
Phone (330) 424-4192

7880 Lincole Pl
Lisbon, OH 44432
Phone (330) 424-5686

103 W Main St
Salineville, OH 43945
Phone (330) 679-2303

Interoperability endpoints

  • Direct secure messaging: richard.fisher.p1@direct.sandy.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235235268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ROSE AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602246",
            "telephone_number": "330-337-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ROSE AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602246",
            "telephone_number": "330-337-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

Verify at the official NPI Registry.