NPIMap

Organization Active NPI

Fisher Denture & Dental Care

  • General Practice Dentistry
  • Fayetteville, AR
National Provider Identifier
1356893820
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3431 Issued in AR
Legal business name
FISHER DENTURE & DENTAL CARE
Practice address
3162 W Martin Luther King Blvd
Ste. 5
Fayetteville, AR 72704-7679
Phone
(479) 443-6900
NPI assigned
Oct 31, 2016
Last updated
Oct 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Darren Fisher, D.D.S.NPI 1275636417
Title
Owner
Phone
(479) 246-0007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3431 AR Primary

Addresses

Primary practice location

3162 W Martin Luther King Blvd
Ste. 5
Fayetteville, AR 72704-7679

Mailing address

3162 W Martin Luther King Blvd
Ste. 5
Fayetteville, AR 72704-7679

National Provider Directory

National Provider Directory
Tax ID family
Fisher Denture Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3162 W Martin Luther King Jr Blvd
Ste 5
Fayetteville, AR 72704
Phone (479) 443-6900

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1356893820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3162 W MARTIN LUTHER KING BLVD",
            "address_2": "STE. 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 W MARTIN LUTHER KING BLVD",
            "address_2": "STE. 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047679",
            "telephone_number": "479-443-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER DENTURE & DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-246-0007",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.