Individual provider Active NPI

Brooks K Fiser, DDS

  • Dentist
  • Fort Smith, AR
National Provider Identifier
1447664347
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3995 Issued in AR
Practice address
9000 Rogers Ave
Fort Smith, AR 72903-5249
Phone
(479) 452-8193
Fax
(479) 452-5720
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3995 AR Primary

Addresses

Primary practice location

9000 Rogers Ave
Fort Smith, AR 72903-5249

Mailing address

9000 Rogers Ave
Fort Smith, AR 72903-5249
Phone (479) 452-8193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201216000611 AR Practitioner - Dentist 7416267281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3995ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Brooks K Fiser, DDS PA CurrentSince Oct 28, 2020 Accepting new patients

Locations

9000 Rogers Ave
Fort Smith, AR 72903
Phone (479) 452-8193

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1447664347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035249",
            "telephone_number": "479-452-8193",
            "fax_number": "479-452-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035249",
            "telephone_number": "479-452-8193",
            "fax_number": "479-452-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISER",
        "first_name": "BROOKS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.