David Fischer, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019027800 Issued in IL

Practice address

3007 Spring Mill Dr
Springfield, IL 62704-6558

Phone

(217) 546-8100

NPI assigned

May 20, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 2, 2017 through May 2, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• County of Sangamon

  dba Sangamon County Department of Public Health

  • Public Health or Welfare Agency
  • Springfield, IL
  • NPI 1164448262
  NPD (past)
• Springfield Associates in Oral & Maxillofacial Surgery LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Springfield, IL
  • NPI 1124122734
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315094400000",
    "number": "1255650974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 SPRING MILL DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046558",
            "telephone_number": "217-546-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 SPRING MILL DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046558",
            "telephone_number": "217-546-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2011-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Advantage
• First Care Healthcare Inc. (Elara Caring V)
• First Community Care, LLC
• First Priority Clinic PLLC
• Benjamin Walker Fischer-Valuck, MD
• Liam James Fischer, D.O.
• Kelli C. Fisher, FNP
• John R Fisk, M.D.
• Michael Fitz
• Hayley Fitzpatrick

• Dentist in Springfield, IL
• Providers in Springfield, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.