Jacob Michael Fischer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901022191 Issued in MI

Practice address

3579 Henry St Ste 110
Norton Shores, MI 49441-6716

Phone

(231) 739-8889

NPI assigned

May 19, 2017

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not 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.

• Dr Michael Fischer

  • Dental Clinic/Center
  • Norton Shores, MI
  • NPI 1033723341
  NPD (past)
• Jacob M. Fischer DDS PLLC

  • Dental Clinic/Center
  • Norton Shores, MI
  • NPI 1336891928
  NPD (past)

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495152000000",
    "number": "1306373444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4552 CHERRYWOOD CT",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3579 HENRY ST STE 110",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494416716",
            "telephone_number": "231-739-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "JACOB",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-19",
        "last_updated": "2017-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Allen Farrell, M.D.
• Sandra L Felt, LMSW
• Rosita Deborah Fennema, LMT
• Brianne Nicole Ferguson
• Mike Fields
• Logan Fischer, DPT
• Angeline Marie Fisher, PA
• Megan Marie Fleese, DO
• Mallory Jean Fluette
• Kelly A Flynn, D.O.

• General Practice Dentistry in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; 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.