Active NPI
Joshua Abrams Fair, DDS
- General Practice Dentistry
- Fremont, MI
National Provider Identifier
1306005129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901021109
- Practice address
- 517 N Stone Rd Ste 102
Fremont, MI 49412-8629 - Phone
- (231) 924-5542
- NPI assigned
- Jun 6, 2008
- Last updated
- May 28, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-028925 | IL | |
| General Practice Dentistry | 1223G0001X | 14214 | MD | |
| General Practice Dentistry | 1223G0001X | 6481-15 | WI | |
| General Practice Dentistry | 1223G0001X | 2901021109 | MI | Primary |
Addresses
Primary practice location
517 N Stone Rd Ste 102
Fremont, MI 49412-8629
Mailing address
517 N Stone Rd Ste 102
Fremont, MI 49412-8629
Phone (231) 924-5542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20160321001893 | MI | Order and Referring Only - Oral Surgery | 2668779505 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-028925 | IL | MD | General Practice Dentistry |
| 2901021109 | MI | MD | General Practice Dentistry |
| 6481-15 | WI | MD | General Practice Dentistry |
| 14214 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Taggart and Niquette P C | General Practice | Past | Accepting new patients |
| Geers Family Chiropractic LLC | Past | Accepting new patients | |
| DRS Fair and Niquette PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Fremont, MI
- NPI 1508289125
-
- General Practice Dentistry
- Fremont, MI
- NPI 1144335159
-
- Chiropractor
- Fremont, MI
- NPI 1306174446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1306005129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 N STONE RD STE 102",
"city": "FREMONT",
"state": "MI",
"postal_code": "494128629",
"telephone_number": "231-924-5542",
"fax_number": "231-924-5826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 N STONE RD STE 102",
"city": "FREMONT",
"state": "MI",
"postal_code": "494128629",
"telephone_number": "231-924-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIR",
"first_name": "JOSHUA",
"middle_name": "ABRAMS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-06",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019-028925",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "14214",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "6481-15",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901021109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.