Active NPI
Michael John Fischer, D.D.S.
- General Practice Dentistry
- Muskegon, MI
National Provider Identifier
1861507154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14403
- Practice address
- 3579 Henry St
Suite 110
Muskegon, MI 49441-6720 - Phone
- (231) 739-8889
- Fax
- (231) 733-3117
- NPI assigned
- Aug 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 14403 | MI | Primary |
Addresses
Primary practice location
3579 Henry St
Suite 110
Muskegon, MI 49441-6720
Mailing address
4552 Cherrywood CT
Muskegon, MI 49441-4810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1884170 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160202000474 | MI | Order and Referring Only - Dentist | 6507160199 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14403 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Michael Fischer | Past | Accepting new patients | |
| Jacob M. Fischer DDS PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fischer Family Dentistry
- Dental Clinic/Center
- Norton Shores, MI
- NPI 1033723341
-
dba Fischer Family Dentistry
- Dental Clinic/Center
- Norton Shores, MI
- NPI 1336891928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861507154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4552 CHERRYWOOD CT",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494414810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3579 HENRY ST",
"address_2": "SUITE 110",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494416720",
"telephone_number": "231-739-8889",
"fax_number": "231-733-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "14403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1884170",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.