Active NPI
Mark Fischer, DDS
- Dentist
- Ankeny, IA
National Provider Identifier
1740568831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08845
- Practice address
- 319 N Ankeny Blvd
Ankeny, IA 50023-1711 - Phone
- (515) 965-1653
- NPI assigned
- Jul 25, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 08845 | IA | Primary |
Addresses
Primary practice location
319 N Ankeny Blvd
Ankeny, IA 50023-1711
Mailing address
1219 SE Village View LN
Ankeny, IA 50021-4029
Phone (605) 431-8278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160127002607 | IA | Order and Referring Only - Dentist | 7214230036 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08845 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa ENT Center PLLC | Past | Accepting new patients | |
| Hintz Family Dentistry | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Ankeny, IA
- NPI 1124307707
-
- Otolaryngology Physician
- West Des Moines, IA
- NPI 1528314960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311552000000",
"number": "1740568831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 SE VILLAGE VIEW LN",
"city": "ANKENY",
"state": "IA",
"postal_code": "500214029",
"telephone_number": "605-431-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 N ANKENY BLVD",
"city": "ANKENY",
"state": "IA",
"postal_code": "500231711",
"telephone_number": "515-965-1653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-25",
"last_updated": "2011-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.