Organization Active NPI

Fisher Jones Family Dentistry

  • General Practice Dentistry
  • Olympia, WA
National Provider Identifier
1346393444
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6203 Issued in WA
Legal business name
FISHER JONES FAMILY DENTISTRY
Practice address
2415 Pacific Ave SE
Suite a
Olympia, WA 98501-2065
Phone
(360) 943-4644
Fax
(360) 943-2534
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Michelle R Fisher
Title
H.R.
Phone
(360) 943-4205

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 7112 WA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6203 WA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6001675 WA

Addresses

Primary practice location

2415 Pacific Ave SE
Suite a
Olympia, WA 98501-2065

Mailing address

1910 4TH Ave E PMB 256
Olympia, WA 98506-4632

National Provider Directory

National Provider Directory

Locations

2415 Pacific Ave SE
Ste A
Olympia, WA 98501
Phone (360) 943-4644

Practitioners & affiliated clinicians

Practitioners 1

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1346393444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 4TH AVE E PMB 256",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PACIFIC AVE SE",
            "address_2": "SUITE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012065",
            "telephone_number": "360-943-4644",
            "fax_number": "360-943-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER JONES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "H.R.",
        "authorized_official_telephone_number": "360-943-4205"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7112",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6203",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6001675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.