Active NPI
Candice Galego Fischer, DMD
- General Practice Dentistry
- Mebane, NC
National Provider Identifier
1811603236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13129
- Practice address
- 1242 S Fifth St Ste D
Mebane, NC 27302-9756 - Phone
- (919) 304-1666
- Fax
- (919) 304-1698
- NPI assigned
- Jan 30, 2023
- Last updated
- Mar 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13129 | NC | Primary |
Addresses
Primary practice location
1242 S Fifth St Ste D
Mebane, NC 27302-9756
Mailing address
2311 Prince St
Durham, NC 27707-1430
Phone (561) 614-9307
Other practice location 1
2311 Prince St
Durham, NC 27707-1430
Phone (561) 614-9307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20230308001026 | NC | Order and Referring Only - Dentist | 6901279215 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13129 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane and Associates Xxxi DDS PA | General Practice | Current | Accepting new patients |
| Zhanying Guo DDS PA | Past | Accepting new patients |
Locations
1242 S Fifth St
#D
Mebane, NC 27302
Phone (919) 304-1666
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Mebane, NC
- NPI 1760911689
-
dba Complete Dental Care of Mebane
- Dental Clinic/Center
- Mebane, NC
- NPI 1891021614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1811603236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 PRINCE ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277071430",
"telephone_number": "561-614-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1242 S FIFTH ST STE D",
"city": "MEBANE",
"state": "NC",
"postal_code": "273029756",
"telephone_number": "919-304-1666",
"fax_number": "919-304-1698"
}
],
"practiceLocations": [
{
"address_1": "2311 Prince St",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277071430",
"country_code": "US",
"telephone_number": "561-614-9307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISCHER",
"first_name": "CANDICE",
"middle_name": "GALEGO",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "13129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mebane, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.