Robert Lynn Fisher, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21796 Issued in CA

Practice address

750 N Capitol Ave
C2
San Jose, CA 95133-1942

Phone

(408) 258-5244

Fax

(408) 258-4768

NPI assigned

Nov 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902977325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N CAPITOL AVE",
            "address_2": "C2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331942",
            "telephone_number": "408-258-5244",
            "fax_number": "408-258-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N CAPITOL AVE",
            "address_2": "C2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331942",
            "telephone_number": "408-258-5244",
            "fax_number": "408-258-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ROBERT",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "21796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST BD OF DENTAL EXAMINERS",
            "identifier": "21796",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Fisher, LCPC
• Duke Vincent Fisher, M.D.
• Kate Fisher
• Kelli Fisher
• Lee Howard Fisher, MD
• Andrew Fite
• Jennifer Fittro
• Five Branches Institute
• Five Branches University Inc (Five Branches Clinic - San Jose)
• Diane Denise Fjelstad, LCSW

• Pediatric Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatric Dentistry in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.