Individual provider Active NPI

Margaret E. P. Fisher, D.M.D.

  • Dentist
  • Fort Belvoir, VA
National Provider Identifier
1497749865
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401411056 Issued in VA
Practice address
9225 Doerr Rd BLDG 1220
Fort Belvoir, VA 22060-2204
Phone
(571) 231-6005
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401411056 VA Primary
General Practice Dentistry 1223G0001X 0401411056 VA

Addresses

Primary practice location

9225 Doerr Rd BLDG 1220
Fort Belvoir, VA 22060-2204

Mailing address

9225 Doerr Rd BLDG 1220
Fort Belvoir, VA 22060-2204
Phone (571) 231-6005

Other practice location 1

1035 Nider Blvd
Suite 200
Norfolk, VA 23521-2701
Phone (757) 314-7435

Other names 1

  • Dr. Margaret Ellen Polifko Former name

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

State licenses

LicenseStateTypeSpecialty
0401411056VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1497749865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 DOERR RD BLDG 1220",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602204",
            "telephone_number": "571-231-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 DOERR RD BLDG 1220",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602204",
            "telephone_number": "571-231-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Nider Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235212701",
            "country_code": "US",
            "telephone_number": "757-314-7435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MARGARET",
        "middle_name": "E. P.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411056",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "POLIFKO",
            "middle_name": "ELLEN",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Belvoir, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.