Amy-Jo Fischer DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5538 Issued in NC

Legal business name

AMY-JO FISCHER DDS PA

Practice address

406 W Mountain St
Kernersville, NC 27284-2534

Phone

(336) 993-7645

NPI assigned

Dec 11, 2006

Last updated

Apr 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy-Jo Pardon, DDS

Title

President

Phone

(336) 993-7645

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meredith Amy Ward, DMD

  • General Practice Dentistry
  • Kernersville, NC
  • NPI 1598319576
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1841350824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W MOUNTAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842534",
            "telephone_number": "336-993-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W MOUNTAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842534",
            "telephone_number": "336-993-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY-JO FISCHER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "PARDON",
        "authorized_official_first_name": "AMY-JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-993-7645",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "98880",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "8998880",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly Rose Alloco
• Wilma D Alston, R.PH.
• Jessica J Amaya
• Ashley Amstutz
• Amy V Harper, OD PLLC
• Emily Aiken Anderson, P.A.
• Jocelyn Anderson
• Kelsey Jean Anderson, PA
• Terry Anderson
• Brittany Michelle Andrade, DPT

• General Practice Dentistry in Kernersville, NC
• Providers in Kernersville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.