Active NPI
Jeffrey Michael Fike, DDS
- Public Health Dentistry
- Harrisburg, PA
National Provider Identifier
1528272895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- DS023115L
- Practice address
- 7709 Avondale Ter
Harrisburg, PA 17112-3805 - Phone
- (717) 657-2702
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | DS023115L | PA | Primary |
| General Practice Dentistry | 1223G0001X | DS023115L | PA |
Addresses
Primary practice location
7709 Avondale Ter
Harrisburg, PA 17112-3805
Mailing address
7709 Avondale Ter
Harrisburg, PA 17112-3805
Phone (717) 657-2702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009270590001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS023115L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1528272895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7709 AVONDALE TER",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171123805",
"telephone_number": "717-657-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7709 AVONDALE TER",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171123805",
"telephone_number": "717-657-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIKE",
"first_name": "JEFFREY",
"middle_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "PA",
"license": "DS023115L",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS023115L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009270590001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.