Active NPI
Howard Brainum Fisher, DDS
- Periodontics
- Baltimore, MD
National Provider Identifier
1245316033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- MD6224
- Practice address
- 1 Village Square
Suite 130
Baltimore, MD 21210 - Phone
- (410) 532-2200
- Fax
- (410) 433-6395
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | MD6224 | MD | Primary |
Addresses
Primary practice location
1 Village Square
Suite 130
Baltimore, MD 21210
Mailing address
7 Regency CT
Baltimore, MD 21208
Phone (410) 484-4942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160201000215 | MD | Order and Referring Only - Oral Surgery | 7012211709 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD6224 | MD | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245316033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 REGENCY CT",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21208",
"telephone_number": "410-484-4942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VILLAGE SQUARE",
"address_2": "SUITE 130",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21210",
"telephone_number": "410-532-2200",
"fax_number": "410-433-6395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "HOWARD",
"middle_name": "BRAINUM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "MD6224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.