Organization Active NPI

Gregory J Fisher DDS PA

  • Dentist
  • Portland, ME
National Provider Identifier
1831392810
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2956 Issued in ME
Legal business name
GREGORY J FISHER DDS PA
Practice address
314 Riverside Street
Portland, ME 04103-1037
Phone
(207) 774-2146
Fax
(207) 774-5069
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gregory John Fisher, DDSNPI 1467481226
Title
President
Phone
(207) 774-2146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2956 ME Primary

Addresses

Primary practice location

314 Riverside Street
Portland, ME 04103-1037

Mailing address

314 Riverside Street
Portland, ME 04103-1037
Phone (207) 774-2146

National Provider Directory

National Provider Directory

Locations

314 Riverside St
Portland, ME 04103
Phone (207) 774-2146

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831392810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 RIVERSIDE STREET",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031037",
            "telephone_number": "207-774-2146",
            "fax_number": "207-774-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 RIVERSIDE STREET",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031037",
            "telephone_number": "207-774-2146",
            "fax_number": "207-774-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J FISHER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-774-2146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ME",
            "license": "2956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.