Kari Fish, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010726 Issued in AZ

Practice address

407 E Iowa St
Holbrook, AZ 86025-2748

Phone

(928) 524-6854

NPI assigned

Aug 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jason D Lyman DMD PC

  • Dentist
  • Holbrook, AZ
  • NPI 1932329588
  NPD (past)

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1346852399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E IOWA ST",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860252748",
            "telephone_number": "928-524-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E IOWA ST",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860252748",
            "telephone_number": "928-524-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "KARI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heber George Dutson, FNP
• Shelly Rae Ehmann, MC, LPC
• El Rio Santa Cruz Neighborhood Health Center Inc
• Leighanne Gentile Ervien
• Family Healing Center, P.C.
• Janette Luanne Fiske, COTA/L
• Leslie Brett Flake
• Jennifer Foran, M.D.
• Lindsey Genet, PHARM.D.
• Gentle Touch Blood Draw Service LLC

• All providers in Holbrook, AZ
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.