Individual provider Active NPI

Candice Galego Fischer, DMD

  • General Practice Dentistry
  • Mebane, NC
National Provider Identifier
1811603236
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13129 Issued in NC
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230308001026 NC Order and Referring Only - DentistPractitioner - Dentist 6901279215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13129NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lane and Associates Xxxi DDS PA General Practice CurrentSince Mar 5, 2023 Accepting new patients
Zhanying Guo DDS PA PastSince Mar 5, 2023 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.

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

Verify at the official NPI Registry.