Individual provider Active NPI

Daniel Lloyd William Fishel, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Red Lion, PA
National Provider Identifier
1598931990
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS036144 Issued in PA
Practice address
3125 Cape Horn Rd
Red Lion, PA 17356-9071
Phone
(717) 417-6263
NPI assigned
May 6, 2008
Last updated
Jun 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS036144 PA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS036144 PA Primary

Addresses

Primary practice location

3125 Cape Horn Rd
Red Lion, PA 17356-9071

Mailing address

3125 Cape Horn Rd
Red Lion, PA 17356-9071
Phone (717) 417-6263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160420001040 PA Order and Referring Only - DentistPractitioner - Dentist 4587962139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS036144PAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
F&S Dental Specialists, LLC Periodontics PastSince Jan 1, 2010 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.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1598931990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569071",
            "telephone_number": "717-417-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569071",
            "telephone_number": "717-417-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHEL",
        "first_name": "DANIEL",
        "middle_name": "LLOYD WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS036144",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS036144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Lion, PA

Sources for this page

Verify at the official NPI Registry.