John M Fish DDS PA

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

5079 Issued in NC

Legal business name

JOHN M FISH DDS PA

Practice address

607 US Highway 70 W
Hildebran, NC 28637-8323

Phone

(828) 397-5514

Fax

(828) 397-3980

NPI assigned

Apr 24, 2014

Last updated

Apr 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn S. Turner

Title

Office Manager

Phone

(828) 397-5514

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1659791085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "HILDEBRAN",
            "state": "NC",
            "postal_code": "286370665",
            "telephone_number": "828-397-5514",
            "fax_number": "828-397-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 US HIGHWAY 70 W",
            "city": "HILDEBRAN",
            "state": "NC",
            "postal_code": "286378323",
            "telephone_number": "828-397-5514",
            "fax_number": "828-397-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M FISH DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-397-5514",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "5079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659555720",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Stewart Kistler, PHARM.D.
• Laboratory Corporation of America Holdings
• Chalres Montie Lail, DMD
• Jennifer Lambert, PA-C

• Customized Equipment (DME) in Hildebran, NC
• Providers in Hildebran, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.