Active NPI
Richard Lee Fisher Sr., DDS
- General Practice Dentistry
- Brookneal, VA
National Provider Identifier
1366413908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401002337
- Practice address
- 215 A Main Street
Brookneal, VA 24528 - Phone
- (434) 376-2238
- NPI assigned
- Jan 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401002337 | VA | Primary |
Addresses
Primary practice location
215 A Main Street
Brookneal, VA 24528
Mailing address
215 A Main Street
PO Box 446
Brookneal, VA 24528
Phone (434) 376-2238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366413908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 A MAIN STREET",
"address_2": "PO BOX 446",
"city": "BROOKNEAL",
"state": "VA",
"postal_code": "24528",
"telephone_number": "434-376-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 A MAIN STREET",
"city": "BROOKNEAL",
"state": "VA",
"postal_code": "24528",
"telephone_number": "434-376-2238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "RICHARD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401002337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookneal, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.