Katrina Fisher, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019029569 Issued in IL

Practice address

310 W Bluff St
Granbury, TX 76048-2417

Phone

(817) 573-2652

NPI assigned

Jul 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alexander Donovan Smith DMD PLLC

  • Dentist
  • Granbury, TX
  • NPI 1427786060
  NPD
• Kushner Becker and Associates LTD

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1053824656
  NPD (past)

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1669814190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W BLUFF ST",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482417",
            "telephone_number": "817-573-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W BLUFF ST",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482417",
            "telephone_number": "817-573-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37402",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fall Creek Dental PA
• Family First Chiropractic Wellness Center
• Courtney Feist, FNP
• Ibimina Fiberesima
• Karen Lynn Finch, PTA
• Randy Alan Fleming, P.T.
• Christine Marie Follis, COTA
• Lynette Blanche Ford, PTA
• Charles Craig Foret, RPH
• Lilyan Fowler, LPC-ASSOCIATE

• General Practice Dentistry in Granbury, TX
• Providers in Granbury, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.