NPIMap

Organization Active NPI

DRS Fair and Niquette PC

  • Dentist
  • Fremont, MI
National Provider Identifier
1508289125
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021109 Issued in MI
Legal business name
DRS FAIR AND NIQUETTE PC
Practice address
517 N Stone Rd
Suite 102
Fremont, MI 49412-8629
Phone
(231) 924-5542
Fax
(231) 924-5826
NPI assigned
Feb 3, 2014
Last updated
Mar 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Dr. Joshua Abrams Fair, DDSNPI 1306005129
Title
President
Phone
(231) 924-4452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901014452 MI
Dentist 122300000X 2901021109 MI Primary

Addresses

Primary practice location

517 N Stone Rd
Suite 102
Fremont, MI 49412-8629

Mailing address

517 N Stone Rd
Suite 102
Fremont, MI 49412-8629
Phone (231) 924-5542

National Provider Directory

National Provider Directory
Tax ID family
DRS Fair and Niquette PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

517 N Stone Rd
Ste 102
Fremont, MI 49412
Phone (231) 924-5542

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1508289125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N STONE RD",
            "address_2": "SUITE 102",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494128629",
            "telephone_number": "231-924-5542",
            "fax_number": "231-924-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N STONE RD",
            "address_2": "SUITE 102",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494128629",
            "telephone_number": "231-924-5542",
            "fax_number": "231-924-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS FAIR AND NIQUETTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ABRAMS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-924-4452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901014452",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.