Chrislyn Lee Fite, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12227 Issued in NC

Practice address

1960 Cave Mill Rd
Bowling Green, KY 42104-6337

Phone

(270) 770-0250

NPI assigned

Jun 9, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 17, 2021 through Nov 17, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fite Dentistry, PLLC

  • Dental Clinic/Center
  • Bowling Green, KY
  • NPI 1558006619
  NPD Authorized official
• Bodnar & Wyatt, PLLC

  • General Practice Dentistry
  • Clyde, NC
  • NPI 1023037264
  NPD (past)

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1962079806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 CAVE MILL RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046337",
            "telephone_number": "270-770-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 CAVE MILL RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046337",
            "telephone_number": "270-770-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITE",
        "first_name": "CHRISLYN",
        "middle_name": "LEE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Step Prosthetics, LLC
• First Step Prosthetics, LLC
• Emily Grace Fisher
• Shelbi Cheatham Fisher, APRN
• Fite Dentistry, PLLC
• John O Fitts, M.D.
• Darrell Flanagan
• Matthew Flanders, PHARM.D.
• Bonnie Lashlee Fleischman
• Abbey Rhea Fletcher

• Dentist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.