Bailey Olivia Fisher, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS043116 Issued in PA

Practice address

2182 Sandy Dr Ste 102
State College, PA 16803-2211

Phone

(814) 234-4444

NPI assigned

May 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 7, 2021 through Jul 7, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dentistry by April Detar

  • General Practice Dentistry
  • State College, PA
  • NPI 1336729573
  NPD

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1508431016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 BECKER RD",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166867520",
            "telephone_number": "814-937-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 SANDY DR STE 102",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032211",
            "telephone_number": "814-234-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "BAILEY",
        "middle_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrill C. Finch, D.D.S.
• Jill Renee Finke, O.D.
• Sarah Beth Finocchiaro, CRNP,APN
• Jay Michael Fiore, MD
• Steven Fishbaine, DDS
• John Bennett Fisher, PT
• Mary Ellen Fisher, MD
• Fit for Play, Inc
• Fitness Consultants Inc.
• Kristy Fitzgerald

• Dentist in State College, PA
• Providers in State College, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.