Active NPI
Nichole Fishbeck, DDS
- General Practice Dentistry
- Maineville, OH
National Provider Identifier
1891225231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32421
- Practice address
- 303 Indian Lake Dr
Maineville, OH 45039-6803 - Phone
- (832) 687-6611
- NPI assigned
- Jun 18, 2017
- Last updated
- Dec 15, 2022
- Sex
- Female
- 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 | 32421 | TX | Primary |
Addresses
Primary practice location
303 Indian Lake Dr
Maineville, OH 45039-6803
Mailing address
303 Indian Lake Dr
Maineville, OH 45039-6803
Phone (832) 687-6611
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 |
|---|---|---|---|
| 32421 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1891225231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 INDIAN LAKE DR",
"city": "MAINEVILLE",
"state": "OH",
"postal_code": "450396803",
"telephone_number": "832-687-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 INDIAN LAKE DR",
"city": "MAINEVILLE",
"state": "OH",
"postal_code": "450396803",
"telephone_number": "832-687-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHBECK",
"first_name": "NICHOLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-18",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "32421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maineville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.