Fred Ferenc Fischer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901011896 Issued in MI

Practice address

25511 Southfield Rd
Suite 115
Southfield, MI 48075-1856

Phone

(248) 443-2300

Fax

(248) 443-0308

NPI assigned

Nov 14, 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

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952473316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25511 SOUTHFIELD RD",
            "address_2": "SUITE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751856",
            "telephone_number": "248-443-2300",
            "fax_number": "248-443-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 SOUTHFIELD RD",
            "address_2": "SUITE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751856",
            "telephone_number": "248-443-2300",
            "fax_number": "248-443-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "FRED",
        "middle_name": "FERENC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Response Transportation of Southfield Inc
• First Sight Transportation
• First Step Counseling and Educational Services, LLC
• First Stop Home Care, Inc. (E.P.I.C. Home Care)
• Firsthealth Hospice Inc
• Lauren Fischer
• Jeffrey S Fischgrund, MD
• Richard Alan Fish, PH.D.
• Michael Thomas Fishburn, RPA
• Twana Rae Fisher-Bean, OTRL

• General Practice Dentistry in Southfield, MI
• Providers in Southfield, MI by specialty
• General Practice Dentistry in Michigan

• 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.

Verify at the official NPI Registry.