Adam Fisher, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN19509 Issued in FL

Practice address

2250 Monroe St
Dearborn, MI 48124-3008

Phone

(313) 563-2632

NPI assigned

Aug 1, 2011

Last updated

Nov 29, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 11, 2022 through Nov 11, 2026

Medicare enrollment (NPD)

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.

• Adam Fisher DMD PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Saline, MI
  • NPI 1164134243
  NPD (past) Authorized official
• Monroe Dental Group

  • General Practice Dentistry
  • Dearborn, MI
  • NPI 1902071541
  NPD (past)

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1427336940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 WAVERLY RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122522",
            "telephone_number": "313-410-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243008",
            "telephone_number": "313-563-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN19509",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901020602",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Rehab Pain Management Inc.
• First Response Medical Supplies LLC
• Christine Littmann Fischer, CNM
• Megan Lynn Fischer
• Lawrence Fischetti, PHD
• Lauren Beth Fisher, IBCLC
• William Leo Fisher, D.D.S.
• Maria Fitahey
• Kathleen A Fitzpatrick, LMSW
• Five Star Home Health Care, LLC

• Oral and Maxillofacial Surgery (Dentist) in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.