Active NPI
Jeffrey Douglas Fisher, DC
- Chiropractor
- Weatherford, TX
National Provider Identifier
1679634505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8289
- Practice address
- 320 Palo Pinto St
Weatherford, TX 76086 - Phone
- (817) 594-1505
- Fax
- (817) 594-1005
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8289 | TX | Primary |
Addresses
Primary practice location
320 Palo Pinto St
Weatherford, TX 76086
Mailing address
320 Palo Pinto St
Weatherford, TX 76086
Phone (817) 594-1505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050914000457 | TX | Practitioner - Chiropractic | 9133152788 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8289 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293494400000",
"number": "1679634505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 PALO PINTO ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "76086",
"telephone_number": "817-594-1505",
"fax_number": "817-594-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 PALO PINTO ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "76086",
"telephone_number": "817-594-1505",
"fax_number": "817-594-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "JEFFREY",
"middle_name": "DOUGLAS",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2010-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.