Individual provider Active NPI

Amy Sarah Vega, D.D.S.

  • General Practice Dentistry
  • Bridgewater, MA
National Provider Identifier
1598967127
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21538 Issued in MA
Practice address
253 Bedford St
Bridgewater, MA 02324-3111
Phone
(508) 697-1440
Fax
(508) 697-5102
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2004023572 MO
General Practice Dentistry 1223G0001X 21538 MA Primary

Addresses

Primary practice location

253 Bedford St
Bridgewater, MA 02324-3111

Mailing address

253 Bedford St
Bridgewater, MA 02324-3111
Phone (508) 697-7102

Other names 1

  • Amy Sarah Fisher Former name

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

LicenseStateTypeSpecialty
21538MAMDGeneral Practice Dentistry
2004023572MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher Family Dentistry PC General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1598967127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 BEDFORD ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023243111",
            "telephone_number": "508-697-7102",
            "fax_number": "508-697-5102"
        },
        {
            "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": "508-697-1440",
            "fax_number": "508-697-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "AMY",
        "middle_name": "SARAH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2004023572",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FISHER",
            "middle_name": "SARAH",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 3, 2011; 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.