David Fisher, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008900 Issued in IN

Practice address

110 W. Hammond St.
Dale, IN 47523

Phone

(812) 937-4818

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family & Implant Dentistry of Dale, LLC

  • Dental Clinic/Center
  • Dale, IN
  • NPI 1538682869
  NPD (past)
• Nicholas Olinger DMD, PC

  • Dental Clinic/Center
  • Dale, IN
  • NPI 1972219558
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427155803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W. HAMMOND ST.",
            "city": "DALE",
            "state": "IN",
            "postal_code": "47523",
            "telephone_number": "812-937-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W. HAMMOND ST.",
            "city": "DALE",
            "state": "IN",
            "postal_code": "47523",
            "telephone_number": "812-937-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Craig, RBT
• Megan Day
• Deaconess Memorial Medical Center Inc (Dale Family Medicine)
• Extendicare Homes, Inc. (Professional Care Rehabilitation Center)
• Family & Implant Dentistry of Dale, LLC
• Stacy Marie George, MS., SLP
• Theresa Harney
• Alexis Henning, RBT
• Jayci Brenae Howe, RBT
• Ashraf Jewell, PTA

• General Practice Dentistry in Dale, IN
• Providers in Dale, IN by specialty
• General Practice Dentistry in Indiana

• 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.

Verify at the official NPI Registry.