Active NPI
Howard Fisher, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Ft Walton Beach, FL
National Provider Identifier
1689643769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN0007089
- Practice address
- 1755 Lewis Turner Blvd
Ft Walton Beach, FL 32547-1221 - Phone
- (850) 863-1182
- NPI assigned
- Mar 14, 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN0007089 | FL | Primary |
Addresses
Primary practice location
1755 Lewis Turner Blvd
Ft Walton Beach, FL 32547-1221
Mailing address
1755 Lewis Turner Blvd
Ft Walton Beach, FL 32547-1221
Phone (850) 863-1182
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0007089 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1689643769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 LEWIS TURNER BLVD",
"city": "FT WALTON BEACH",
"state": "FL",
"postal_code": "325471221",
"telephone_number": "850-863-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 LEWIS TURNER BLVD",
"city": "FT WALTON BEACH",
"state": "FL",
"postal_code": "325471221",
"telephone_number": "850-863-1182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "HOWARD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN0007089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.