Active NPI
Matthew A. Fisher, DDS
- Endodontics
- Bridgewater, MA
National Provider Identifier
1558532929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 21829
- Practice address
- 253 Bedford St
Bridgewater, MA 02324-3111 - Phone
- (508) 697-7102
- NPI assigned
- Mar 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 21829 | MA | Primary |
Addresses
Primary practice location
253 Bedford St
Bridgewater, MA 02324-3111
Mailing address
39 Acorn Rd
North Easton, MA 02356-3624
Phone (508) 297-2538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160503002593 | MA | Order and Referring Only - Oral Surgery | 3173822772 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21829 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fisher Family Dentistry PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Bridgewater, MA
- NPI 1306920301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1558532929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 ACORN RD",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023563624",
"telephone_number": "508-297-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 BEDFORD ST",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023243111",
"telephone_number": "508-697-7102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "MATTHEW",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-13",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MA",
"license": "21829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.