James L Fish, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2641 Issued in AR

Practice address

2001 S Buerkle St
Stuttgart, AR 72160-6507

Phone

(870) 673-2687

Fax

(870) 673-2688

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912939273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S BUERKLE ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721606507",
            "telephone_number": "870-673-2687",
            "fax_number": "870-673-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BUERKLE ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721606507",
            "telephone_number": "870-673-2687",
            "fax_number": "870-673-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "57733",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "58826",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tronika Earls
• Garrett Nmi Elam, D.O.
• Evergreene Properties of North Carolina,LLC
• Hannah Leigh Ferguson, PHARMD
• William Fielder, O.D.
• Azure Fitzpatrick, MHPP
• Loura Flowers
• Forrest Manor Residential Care Facility
• Tori M Frazier, LCSW
• Brandy Erin Fuller, RD,LD

• General Practice Dentistry in Stuttgart, AR
• Providers in Stuttgart, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.