Active NPI
John David Fisher Jr., D.D.S.
- General Practice Dentistry
- Sanford, NC
National Provider Identifier
1295792174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3994
- Practice address
- 1808 Doctors Dr
Sanford, NC 27330-5057 - Phone
- (919) 776-0741
- Fax
- (919) 774-6443
- NPI assigned
- Apr 26, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3994 | NC | Primary |
Addresses
Primary practice location
1808 Doctors Dr
Sanford, NC 27330-5057
Mailing address
1808 Doctors Dr
Sanford, NC 27330-5057
Phone (919) 776-0741
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235997 | Other | NC | TRIGON IDENTIFICATION # |
| 400044 | Other | NC | UNITED CONCORDIA # |
| 8992718 | Medicaid | NC | |
| 92718 | Other | NC | BCBS OF NC PROVIDER # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3994 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. David Fisher, Jr., DDS, PA | General Practice | Current | Accepting new patients |
Locations
1808 Doctors Dr
Sanford, NC 27330
Phone (919) 776-0741
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Sanford, NC
- NPI 1265457568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295792174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 DOCTORS DR",
"city": "SANFORD",
"state": "NC",
"postal_code": "273305057",
"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 DOCTORS DR",
"city": "SANFORD",
"state": "NC",
"postal_code": "273305057",
"telephone_number": "919-776-0741",
"fax_number": "919-774-6443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "3994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIGON IDENTIFICATION #",
"identifier": "235997",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA #",
"identifier": "400044",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8992718",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC PROVIDER #",
"identifier": "92718",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.