Individual provider Active NPI

Bobbi Faye Fisher, RDH

  • Dental Hygienist
  • Charlotte, NC
National Provider Identifier
1861005795
Registry record updated Aug 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
5899 Issued in NC
Practice address
135 S Sharon Amity Rd Ste 204
Charlotte, NC 28211-3871
Phone
(704) 365-2765
Fax
(704) 365-2767
NPI assigned
Aug 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 5899 NC Primary

Addresses

Primary practice location

135 S Sharon Amity Rd Ste 204
Charlotte, NC 28211-3871

Mailing address

9324 Lucy Jane LN Apt T05
Charlotte, NC 28270-2593
Phone (704) 962-2979

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
5899NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cotswold Family Dentistry CurrentSince Sep 20, 2020 Accepting new patients
Dr. Cameron & Associates of Cotswold, PLLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

135 S Sharon Amity Rd
Ste 204
Charlotte, NC 28211
Phone (704) 365-2765

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598659200000",
    "number": "1861005795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9324 LUCY JANE LN APT T05",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702593",
            "telephone_number": "704-962-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S SHARON AMITY RD STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113871",
            "telephone_number": "704-365-2765",
            "fax_number": "704-365-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "BOBBI",
        "middle_name": "FAYE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-29",
        "last_updated": "2020-08-29",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NC",
            "license": "5899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.