Richard Douglas Presser, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010594A Issued in IN

Practice address

7207 Engle Rd
Fort Wayne, IN 46804-2231

Phone

(260) 434-0099

Fax

(260) 434-0799

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• TMJ & Sleep Therapy Centre of Fort Wayne, LLC

  • Dentist
  • Fort Wayne, IN
  • NPI 1811531007
  NPD (past) Authorized official
• Summit Dental Group PC

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1720175979
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679607394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 ENGLE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042231",
            "telephone_number": "260-434-0099",
            "fax_number": "260-434-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 ENGLE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042231",
            "telephone_number": "260-434-0099",
            "fax_number": "260-434-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSER",
        "first_name": "RICHARD",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010594A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200817330A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Indiana Medical PC
• Premise Health of Indiana Medical PC
• McKayla Prentice, RBT
• Timothy James Prentice, MA, LMHC
• Presley Vision Services, PC
• Charles F Presti, MD
• Yolanda Michelle Preston
• Christina Suzanne Preusz, MD
• Prevail Prosthetics and Orthotics
• Prevail Prosthetics and Orthotics, Inc

• General Practice Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Dentistry in Indiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.