Active NPI
Fisher Jones Family Dentistry
- General Practice Dentistry
- Olympia, WA
National Provider Identifier
1346393444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6203
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7112 | WA | |
| General Practice Dentistry | 1223G0001X | 6203 | WA | Primary |
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Olympia, WA
- NPI 1669852513
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.