Keith Paul Fisher, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS022809L Issued in PA

Practice address

1001 S Market Street
Mechanicsburg, PA 17055-4748

Phone

(717) 766-7025

NPI assigned

Jan 29, 2007

Sex

Male

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 PA

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 and National Provider Directory roles.

• Keith P Fisher DDS LLC

  • Durable Medical Equipment & Medical Supplies
  • Mechanicsburg, PA
  • NPI 1790345924
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1497891485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MARKET ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554748",
            "telephone_number": "717-766-7025",
            "fax_number": "717-766-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MARKET STREET",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554748",
            "telephone_number": "717-766-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KEITH",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "DS022809L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022809L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Lynn Finkey, OTA
• Val Wano Finnell, MD, MPH
• Irwin Fish, PA-C
• Cheryl Fishel
• Emmalee Fisher
• Kimberly Ann Fisher
• Melanie E. Fisher, LSW
• Timothy Scott Fisher Jr., CRNP
• Sharon Ann-Romano Fitzgerald, M.D.
• Flagship Rehabilitation, Inc

• General Practice Dentistry in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.