Individual provider Active NPI

Donald Fischer Jr.

  • Dentist
  • Sioux Falls, SD
National Provider Identifier
1821484577
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
M669 Issued in SD
Practice address
1600 N North Dr
Jameson Annex Dental
Sioux Falls, SD 57104-0915
Phone
(605) 367-5161
Fax
(605) 367-5166
NPI assigned
Apr 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X M669 SD Primary

Addresses

Primary practice location

1600 N North Dr
Jameson Annex Dental
Sioux Falls, SD 57104-0915

Mailing address

1600 N North Dr
Jameson Annex Dental
Sioux Falls, SD 57104-0915
Phone (605) 367-5161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M669SDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1821484577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N NORTH DR",
            "address_2": "JAMESON ANNEX DENTAL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571040915",
            "telephone_number": "605-367-5161",
            "fax_number": "605-367-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N NORTH DR",
            "address_2": "JAMESON ANNEX DENTAL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571040915",
            "telephone_number": "605-367-5161",
            "fax_number": "605-367-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "DONALD",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.