Alyssa Elaine Fisher, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012939A Issued in IN

Practice address

4109 Lahmeyer Rd
Fort Wayne, IN 46815-5666

Phone

(260) 235-2992

Fax

(260) 486-0068

NPI assigned

Jun 12, 2018

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Dr Alyssa Fisher LLC

  • Dentist
  • Fort Wayne, IN
  • NPI 1366047326
  NPD Authorized official
• Dr. L Gary Painter PC

  • Dentist
  • Fort Wayne, IN
  • NPI 1639501273
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1801389069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 LAHMEYER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155666",
            "telephone_number": "260-235-2992",
            "fax_number": "260-486-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 LAHMEYER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155666",
            "telephone_number": "260-235-2992",
            "fax_number": "260-486-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ALYSSA",
        "middle_name": "ELAINE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012939A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Fischer, MS
• Kim Maxwell Fish, LCSW, LMHC
• Abby Fisher
• Alexandria Nichole Fisher, FNP
• Allison Fisher, NP
• Anne Fisher, PA-C
• Christian M Fisher, M.D.
• Elise Fisher
• Jackalyn Patricia Fisher, M.S., CCC-SLP
• James W Fisher, D.D.S., M.SC.D.

• General Practice Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.