Active NPI
Terry L Fisher, D.D.S
- Dentist
- Houston, TX
National Provider Identifier
1295050300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9311
- Practice address
- 4005 Broadway St
Houston, TX 77087-4703 - Phone
- (713) 644-4331
- Fax
- (713) 644-1975
- NPI assigned
- Mar 31, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9311 | TX | Primary |
Addresses
Primary practice location
4005 Broadway St
Houston, TX 77087-4703
Mailing address
4005 Broadway St
Houston, TX 77087-4703
Phone (713) 644-4331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9311 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269993600000",
"number": "1295050300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4005 BROADWAY ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770874703",
"telephone_number": "713-644-4331",
"fax_number": "713-644-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 BROADWAY ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770874703",
"telephone_number": "713-644-4331",
"fax_number": "713-644-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "TERRY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-31",
"last_updated": "2010-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "9311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.