Melissa Jill-Fischer Novetsky, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019349 Issued in MI

Practice address

32669 Warren Rd
Garden City, MI 48135-1677

Phone

(734) 422-4350

Fax

(734) 422-7460

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

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

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.

• Fischer Family Dental

  • General Practice Dentistry
  • Garden City, MI
  • NPI 1992967723
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1467648931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32669 WARREN RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351677",
            "telephone_number": "734-422-4350",
            "fax_number": "734-422-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32669 WARREN RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351677",
            "telephone_number": "734-422-4350",
            "fax_number": "734-422-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVETSKY",
        "first_name": "MELISSA",
        "middle_name": "JILL-FISCHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019349",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashana Newman
• Shamare L Newman
• Hannah Katherine Newton, PHARMD, RPH
• Nextgen RX LLC
• Nova Meds LLC
• Narissa Dewi Nisrina Nursjamsi
• Philip O'Dwyer, ED.D, CSW, CACII
• Oakwood Ambulatory, LLC (Beaumont Healthcare Center - Garden City)
• Oakwood Ambulatory,LLC (Beaumont Family Medicine - Garden City)
• Occmed Connect LLC

• General Practice Dentistry in Garden City, MI
• Providers in Garden City, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.