Active NPI
Alysia Mae Fisher, RDH
- Dental Hygienist
- Centuria, WI
National Provider Identifier
1629551098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 10140-16
- Practice address
- 601 State Road 35
Centuria, WI 54824-9014 - Phone
- (715) 646-2161
- NPI assigned
- Sep 12, 2018
- Last updated
- Sep 12, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 10140-16 | WI | Primary |
Addresses
Primary practice location
601 State Road 35
Centuria, WI 54824-9014
Mailing address
1446 243Rd Ave
Luck, WI 54853-6000
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 |
|---|---|---|---|
| 10140-16 | WI | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgeann C. Vargas DDS, LTD | 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.
-
dba Hauge Dental Clinic
- Dental Clinic/Center
- Centuria, WI
- NPI 1396104097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1629551098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1446 243RD AVE",
"city": "LUCK",
"state": "WI",
"postal_code": "548536000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 STATE ROAD 35",
"city": "CENTURIA",
"state": "WI",
"postal_code": "548249014",
"telephone_number": "715-646-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "ALYSIA",
"middle_name": "MAE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "10140-16",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centuria, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.