NPIMap

Organization Active NPI

Jacob M. Fischer DDS PLLC

Doing business as Fischer Family Dentistry

  • Dental Clinic/Center
  • Norton Shores, MI
National Provider Identifier
1336891928
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JACOB M. FISCHER DDS PLLC
Doing business as
Fischer Family Dentistry
Practice address
3579 Henry St Ste 110
Norton Shores, MI 49441-6716
Phone
(231) 739-8889
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Jennifer Wagner
Title
Office Manager
Phone
(231) 739-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

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

Mailing address

3579 Henry St Ste 110
Norton Shores, MI 49441-6716
Phone (231) 739-8889

Other names 1

  • Fischer Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3579 Henry St
Ste 110
Norton Shores, MI 49441
Phone (231) 739-8889

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": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1336891928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 HENRY ST STE 110",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494416716",
            "telephone_number": "231-739-8889"
        },
        {
            "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": {
        "organization_name": "JACOB M. FISCHER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-739-8889"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fischer Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.