Adrian Elizabeth Fisher, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09287 Issued in IA

Practice address

4930 SE 14TH St
Des Moines, IA 50320-1604

Phone

(515) 650-9483

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Adrian Elizabeth Formanek Other name

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1235582644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201604",
            "telephone_number": "515-650-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201604",
            "telephone_number": "515-650-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ADRIAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIAN",
            "last_name": "FORMANEK",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley Lynn Fink, D.P.T
• Janet E Fink, ARNP
• Sharisse Fiori, ARNP
• Megan Fischer, DO
• Shawnae Fischer
• David R Fisher, DO
• Jerriane May Fisher
• Mallory Fisher
• Tyler J Fisher, M.D.
• Cole Jones Fister, DPT

• General Practice Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.