Active NPI
Edward Joseph Fisher, DMD
- Dentist
- South Miami, FL
National Provider Identifier
1619174901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN14571
- Practice address
- 7731 SW 62ND Ave
101
South Miami, FL 33143-4908 - Phone
- (305) 661-9603
- Fax
- (305) 661-0837
- NPI assigned
- Jun 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN14571 | FL | Primary |
Addresses
Primary practice location
7731 SW 62ND Ave
101
South Miami, FL 33143-4908
Mailing address
7731 SW 62ND Avenue
101
South Miami, FL 33143
Phone (305) 661-9603
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 |
|---|---|---|---|
| DN14571 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619174901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7731 SW 62ND AVENUE",
"address_2": "101",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "33143",
"telephone_number": "305-661-9603",
"fax_number": "305-661-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7731 SW 62ND AVE",
"address_2": "101",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434908",
"telephone_number": "305-661-9603",
"fax_number": "305-661-0837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "EDWARD",
"middle_name": "JOSEPH",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN14571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.