NPIMap

Organization Active NPI

Fisher Dentistry PLLC

  • General Practice Dentistry
  • Port Orchard, WA
National Provider Identifier
1467690990
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00006120 Issued in WA
Legal business name
FISHER DENTISTRY PLLC
Practice address
2021 SE Sedgwick Rd
Suite #3
Port Orchard, WA 98366-9502
Phone
(360) 876-0445
Fax
(360) 876-0447
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Mrs. Sandra Loreen Arps
Title
Business Administrator
Phone
(360) 876-0445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DE 60041592 WA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 00006120 WA Primary

Addresses

Primary practice location

2021 SE Sedgwick Rd
Suite #3
Port Orchard, WA 98366-9502

Mailing address

PO Box 818
Port Orchard, WA 98366-0818
Phone (360) 876-0445

Other identifiers 1

IdentifierTypeStateIssuer
802581OtherWAUNITED CONCORDIA INS. CO.

Other names 1

  • Fisher Distinctive Dentistry Former legal business name

National Provider Directory

National Provider Directory

Locations

2021 SE Sedgwick Rd
Ste 3
Port Orchard, WA 98366
Phone (360) 876-0445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1467690990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983660818",
            "telephone_number": "360-876-0445",
            "fax_number": "360-876-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SE SEDGWICK RD",
            "address_2": "SUITE #3",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983669502",
            "telephone_number": "360-876-0445",
            "fax_number": "360-876-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "ARPS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LOREEN",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "360-876-0445",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60041592",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "00006120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INS. CO.",
            "identifier": "802581",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fisher Distinctive Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.