Individual provider Active NPI

Clifford Joseph Fisher, DC

  • Chiropractor
  • Reno, NV
National Provider Identifier
1851324735
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4616 Issued in NC
Practice address
9476 Double R Blvd
Ste a
Reno, NV 89521-2959
Phone
(775) 337-0184
Fax
(775) 337-2395
NPI assigned
Jul 7, 2006
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4616 NC Primary
Chiropractor 111N00000X B-808 NV

Addresses

Primary practice location

9476 Double R Blvd
Ste a
Reno, NV 89521-2959

Mailing address

9476 Double R Blvd
Ste a
Reno, NV 89521-2959
Phone (775) 424-2009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220210000472 NC Practitioner - Chiropractic 2567639255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 W NC Hwy 54
Suite 103
Durham, NC 27713-7564
Phone (919) 408-7499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4616NCMDProfessional Counselor
B-808NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Align Services Raleigh, PLLC Chiropractor Current Accepting new patients
Fisher Family First Chiropractic II LTD Chiropractor CurrentSince Mar 1, 2003 Accepting new patients
NC Chiropractic 01 Inc Chiropractor CurrentSince Oct 2, 2021 Accepting new patients
Greensboro Chiropractic Inc Chiropractor PastSince Sep 6, 2005 Accepting new patients

Locations

202 W NC Highway 54
Ste 103
Durham, NC 27713
Phone (919) 408-7499

9476 Double R Blvd
Ste A
Reno, NV 89521
Phone (775) 284-3333

2155 Green Vista Dr
Ste 202
Sparks, NV 89431
Phone (775) 337-0184

Organizations & group practices 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1851324735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9476 DOUBLE R BLVD",
            "address_2": "STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895212959",
            "telephone_number": "775-424-2009",
            "fax_number": "775-337-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9476 DOUBLE R BLVD",
            "address_2": "STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895212959",
            "telephone_number": "775-337-0184",
            "fax_number": "775-337-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "CLIFFORD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4616",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.