Fixari Dental of Canal LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FIXARI DENTAL OF CANAL LLC

Practice address

6441 Winchester Blvd
Canal Winchester, OH 43110-2033

Phone

(614) 834-3455

Fax

(614) 834-3457

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Fixari, DDS

Title

Owner

Phone

(614) 834-3455

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336288190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6441 WINCHESTER BLVD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431102033",
            "telephone_number": "614-834-3455",
            "fax_number": "614-834-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6441 WINCHESTER BLVD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431102033",
            "telephone_number": "614-834-3455",
            "fax_number": "614-834-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIXARI DENTAL OF CANAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIXARI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-834-3455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.