Sona Fisenkova

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021404 Issued in MI

Practice address

32905 W 12 Mile Rd Ste 140
Farmington Hills, MI 48334-3343

Phone

(248) 987-2879

Fax

(248) 715-6367

NPI assigned

Mar 17, 2015

Sex

Female

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prime Dental PLLC

  • Dentist
  • Farmington Hills, MI
  • NPI 1720551500
  NPD Authorized official

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1811380751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD STE 140",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343343",
            "telephone_number": "248-987-2879",
            "fax_number": "248-715-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD STE 140",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343343",
            "telephone_number": "248-987-2879",
            "fax_number": "248-715-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISENKOVA",
        "first_name": "SONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Louise Fischer, PH.D
• Rhiannon Fischer
• Steven Charles Fischer, PHD
• Myles Fischl
• Pamela Fischl
• Lacie Fish
• Elizabeth Fisher-Gonshak
• Allie Fisher
• Allison Fisher
• Andrew Fisher

• General Practice Dentistry in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.

Verify at the official NPI Registry.