Jonathan B Fisher, DDS,PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60146968 Issued in WA

Legal business name

JONATHAN B FISHER, DDS,PLLC

Practice address

1205 SE Professional Mall Blvd
Suite 201
Pullman, WA 99163-5423

Phone

(509) 332-2366

NPI assigned

Aug 16, 2010

Last updated

Aug 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Bernard Fisher, DDSNPI 1255523700

Title

Member

Phone

(509) 332-2366

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jonathan Bernard Fisher, D.D.S.

  • General Practice Dentistry
  • Pullman, WA
  • NPI 1255523700
  Authorized official Same address or phone

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1518272418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 SE PROFESSIONAL MALL BLVD",
            "address_2": "SUITE 201",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635423",
            "telephone_number": "509-332-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 SE PROFESSIONAL MALL BLVD",
            "address_2": "SUITE 201",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635423",
            "telephone_number": "509-332-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN B FISHER, DDS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "509-332-2366",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60146968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Dean Johnson, CRNA
• Elizabeth Anne Johnson
• Jeanne M Johnson, PH.D., CCC-SLP
• Melissa Lannie Johnson
• Sue Anne Johnson, LMT
• Jonathan M. Fairbanks, D.D.S., PLLC (Pullman Smiles)
• Carla A Jones, M.A., CCC-SLP
• David T Jones, MD
• Janie L Jones, MSPT
• Kathryn Jones

• General Practice Dentistry in Pullman, WA
• Providers in Pullman, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.