Active NPI
Steven John Fish, D.D.S.
- General Practice Dentistry
- Susanville, CA
National Provider Identifier
1477737765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32707
- Practice address
- 711-045 Center Road
Susanville, CA 96130-0000 - Phone
- (530) 257-2181
- NPI assigned
- Dec 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32707 | CA | Primary |
Addresses
Primary practice location
711-045 Center Road
Susanville, CA 96130-0000
Mailing address
California Correctional Center
PO Box 790
Susanville, CA 96130-0000
Phone (530) 257-2181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1477737765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALIFORNIA CORRECTIONAL CENTER",
"address_2": "PO BOX 790",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961300000",
"telephone_number": "530-257-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711-045 CENTER ROAD",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961300000",
"telephone_number": "530-257-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISH",
"first_name": "STEVEN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-21",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "32707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Susanville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.