J. David Fisher, Jr., DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3994 Issued in NC

Legal business name

J. DAVID FISHER, JR., DDS, PA

Practice address

1808 Doctor's Dr.
Sanford, NC 27330

Phone

(919) 776-0741

Fax

(919) 774-6443

NPI assigned

Jul 13, 2006

Last updated

Jun 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

J. David Fisher Jr., D.D.S.

Title

Dentist

Phone

(919) 776-0741

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John David Fisher Jr., D.D.S.

  • General Practice Dentistry
  • Sanford, NC
  • NPI 1295792174
  NPD
• Ifaz B Parvez, DDS

  • General Practice Dentistry
  • Sanford, NC
  • NPI 1720798366
  NPD

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1265457568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 DOCTOR'S DR.",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27330",
            "telephone_number": "919-776-0741",
            "fax_number": "919-774-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 DOCTOR'S DR.",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27330",
            "telephone_number": "919-776-0741",
            "fax_number": "919-774-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. DAVID FISHER, JR., DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-776-0741",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8992718",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "400044",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "92718",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON ID #",
            "identifier": "235997",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Sanford, NC
• Providers in Sanford, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.