Organization Active NPI

Keith P Fisher DDS LLC

  • Durable Medical Equipment & Medical Supplies
  • Mechanicsburg, PA
National Provider Identifier
1790345924
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KEITH P FISHER DDS LLC
Practice address
1001 S Market St
Mechanicsburg, PA 17055-4748
Phone
(717) 766-7025
NPI assigned
Jun 19, 2019
Organization subpart
Yes
Parent organization
KEITH P FISHER DDS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Kathy Fisher
Title
Secretary
Phone
(717) 766-7025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1001 S Market St
Mechanicsburg, PA 17055-4748

Mailing address

1001 S Market St
Mechanicsburg, PA 17055-4748
Phone (717) 766-7025

National Provider Directory

National Provider Directory
Part of
Keith P Fisher DDS LLC

Locations

1001 S Market St
Mechanicsburg, PA 17055
Phone (717) 406-5190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1790345924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MARKET ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554748",
            "telephone_number": "717-766-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MARKET ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554748",
            "telephone_number": "717-766-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH P FISHER DDS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEITH P FISHER DDS LLC",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "717-766-7025"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.