Organization Active NPI

John P Fisher DDS PC

  • General Practice Dentistry
  • Salem, MA
National Provider Identifier
1568474179
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12493 Issued in MA
Legal business name
JOHN P FISHER DDS PC
Practice address
18 Hawthorne Boulevard
Salem, MA 01970-3710
Phone
(978) 744-1209
Fax
(978) 744-1917
NPI assigned
Aug 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John P Fisher, DDSNPI 1669664397
Title
President
Phone
(978) 744-1209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19961 MA
General Practice Dentistry 1223G0001X 12493 MA Primary

Addresses

Primary practice location

18 Hawthorne Boulevard
Salem, MA 01970-3710

Mailing address

18 Hawthorne Boulevard
Salem, MA 01970-3710
Phone (978) 744-1209

National Provider Directory

National Provider Directory

Locations

18 Hawthorne Blvd
Salem, MA 01970
Phone (978) 744-1209

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568474179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HAWTHORNE BOULEVARD",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703710",
            "telephone_number": "978-744-1209",
            "fax_number": "978-744-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HAWTHORNE BOULEVARD",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703710",
            "telephone_number": "978-744-1209",
            "fax_number": "978-744-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P FISHER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-744-1209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19961",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.