Daryan Fisher
Student in an Organized Health Care Education/Training Program in Dallas, TX. Individual provider (NPI-1).
Details
- NPI
- 1093601577
- Entity type
- Individual (NPI-1)
- Name
- Daryan Fisher
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2025
- Certification date
- Sep 5, 2025
- Last updated
- Sep 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 122300000X | Dentist | 8136 | OK |
Practice location
3302 Gaston AveDallas, TX 75246-2013
Phone 214-828-8215
Mailing address
3302 Gaston AveDallas, TX 75246-2013
Phone 214-828-8215
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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