Mary M Fisher, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12990 Issued in MI

Practice address

6010 W Maple Rd
Ste 210
West Bloomfield, MI 48322-4406

Phone

(248) 932-8980

Fax

(248) 419-6124

NPI assigned

May 28, 2005

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

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.

• Karmo Dental PLLC

  • General Practice Dentistry
  • West Bloomfield, MI
  • NPI 1427825025
  NPD (past)

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1508869058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 W MAPLE RD",
            "address_2": "STE 210",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224406",
            "telephone_number": "248-932-8980",
            "fax_number": "248-932-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 W MAPLE RD",
            "address_2": "STE 210",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224406",
            "telephone_number": "248-932-8980",
            "fax_number": "248-419-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MARY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-28",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Carmon Fischer, M.D.
• Alyssa Fisher, LLMSW
• Emily Rachel Fisher
• Jay E Fisher, MD
• Laurie K Fisher, MD
• Catherine Ann Fitzgerald, NP
• Josephine Fletcher, M.S.
• Keeana Monique Fleurissaint, MSW
• Flossophy Plllc
• Foot and Ankle Institute of Michigan PLLC

• General Practice Dentistry in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.