Organization Active NPI

Farmington Family Dentistry PC

  • General Practice Dentistry
  • Novi, MI
National Provider Identifier
1336154285
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016456 Issued in MI
Legal business name
FARMINGTON FAMILY DENTISTRY PC
Practice address
39475 Lewis Dr
Suite 100
Novi, MI 48377-2981
Phone
(248) 553-3100
Fax
(248) 553-4115
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Dr. Donald Max Fisher, D.D.S.
Title
President
Phone
(248) 553-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901016456 MI Primary

Addresses

Primary practice location

39475 Lewis Dr
Suite 100
Novi, MI 48377-2981

Mailing address

39475 Lewis Dr
Suite 100
Novi, MI 48377-2981
Phone (248) 553-3100

Other names 1

  • Fisher Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

39475 Lewis Dr
Ste 100
Novi, MI 48377
Phone (248) 553-3100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1336154285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39475 LEWIS DR",
            "address_2": "SUITE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772981",
            "telephone_number": "248-553-3100",
            "fax_number": "248-553-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39475 LEWIS DR",
            "address_2": "SUITE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772981",
            "telephone_number": "248-553-3100",
            "fax_number": "248-553-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-553-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fisher Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.