NPIMap

Organization Active NPI

Dr Andrew L Fiscus DDS PC

  • Dentist
  • Bainbridge Island, WA
National Provider Identifier
1962879312
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR ANDREW L FISCUS DDS PC
Practice address
730 Ericksen Ave NE Ste 200
Bainbridge Island, WA 98110-2819
Phone
(206) 842-8686
Fax
(206) 842-0650
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Andrew Fiscus
Title
Owner
Phone
(206) 842-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

730 Ericksen Ave NE Ste 200
Bainbridge Island, WA 98110-2819

Mailing address

730 Ericksen Ave NE Ste 200
Bainbridge Island, WA 98110-2819
Phone (206) 842-8686

National Provider Directory

National Provider Directory
Tax ID family
Dr Andrew L Fiscus DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

730 Ericksen Ave NE
Ste 200
Bainbridge Island, WA 98110
Phone (206) 842-8686

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1962879312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 ERICKSEN AVE NE STE 200",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102819",
            "telephone_number": "206-842-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 ERICKSEN AVE NE STE 200",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102819",
            "telephone_number": "206-842-8686",
            "fax_number": "206-842-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANDREW L FISCUS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "FISCUS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-842-8686"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.