John O Fishell Jr., DMD, MDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS029826L Issued in PA

Practice address

228 McKean Avenue
Charleroi, PA 15022-1413

Phone

(724) 483-4808

Fax

(724) 483-4870

NPI assigned

Oct 26, 2011

Last updated

Oct 26, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1750667440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 MCKEAN AVENUE",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150221413",
            "telephone_number": "724-483-4808",
            "fax_number": "724-483-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 MCKEAN AVENUE",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150221413",
            "telephone_number": "724-483-4808",
            "fax_number": "724-483-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHELL",
        "first_name": "JOHN",
        "middle_name": "O",
        "name_suffix": "Jr.",
        "credential": "DMD, MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS029826L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Charleroi, PA
• Providers in Charleroi, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.