Active NPI
Philip Ray Fisher, DMD, PLLC
- General Practice Dentistry
- Clyde, NC
National Provider Identifier
1851313027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5807
- Practice address
- 103 Haywood Park Dr
Clyde, NC 28721-4405 - Phone
- (828) 627-1050
- Fax
- (828) 627-1056
- NPI assigned
- Jul 24, 2006
- Last updated
- Oct 2, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 5807 | NC | Primary |
Addresses
Primary practice location
103 Haywood Park Dr
Clyde, NC 28721-4405
Mailing address
124 Glendale Dr
Waynesville, NC 28786-4736
Phone (828) 452-3963
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149121 | Other | TN | BCBS |
| 810-20124 | Other | AL | BCBS |
| 7102NC | Other | MI | BCBS |
| 615188 | Other | PA | UNITED CONCORDIA |
| 8992724 | Medicaid | NC | |
| 92724 | Other | NC | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5807 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1851313027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 GLENDALE DR",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287864736",
"telephone_number": "828-452-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 HAYWOOD PARK DR",
"city": "CLYDE",
"state": "NC",
"postal_code": "287214405",
"telephone_number": "828-627-1050",
"fax_number": "828-627-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "PHILIP",
"middle_name": "RAY",
"credential": "DMD, PLLC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "5807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0149121",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "810-20124",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "7102NC",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "615188",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8992724",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "92724",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clyde, NC
- Earl Enterprises Inc. (Spicewood Cottages Willows)
- Heather Edwards, PT
- Brittany Lauren Underwood Ellenburg
- Envision Pain Management PLLC
- Jane Finneran, PT
- Fletcher Hospital Inc (Adventhealth Southeastern Orthopedics and Spine at Haywood)
- Franklin Richard Lang,MD
- Nancy R Freeman, M.D.
- Patrick Furr, DPT
- Brooklyn Marie Galyean
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.