DR. JERRY IRVING FISHMAN (NPI# 1588833107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588833107 |
| Entity Type | Individual |
| Full Name | DR. JERRY IRVING FISHMAN |
| Credential | D.D.S., P.A. |
| Practice Address |
1040 Weston Rd Suite 200 Weston FL 33326-1978 |
| Practice Telephone | 9543897906 |
| Practice Fax Number | 9543499181 |
| Mailing Telephone | 9543897906 |
| Mailing Fax Number | 9543499181 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3927 | FL | Dental Providers |
| Street Address |
1040 WESTON RD SUITE 200 |
| City | WESTON |
| State | FL |
| Zip Code | 33326-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972591337 | Jeffrey P Heilig | Dentist | 1040 Weston Rd, Suite 300, Weston, FL 33326-1978 | 2005-10-10 |
| 1396134417 | Heather G Hosseini | Dentist | 1040 Weston Rd, Suite 225, Weston, FL 33326-1978 | 2015-01-13 |
| 1427338680 | Goal Psychiatric Associates, LLC | Psychiatry & Neurology | 1040 Weston Rd, Suite 210, Weston, FL 33326-1912 | 2011-08-19 |
| 1164759478 | Weston Dermatology LLC | Dermatology | 1040 Weston Rd, Suite 105, Weston, FL 33326-1978 | 2009-11-06 |
| 1053502740 | Adria A Labiner | Social Worker | 1040 Weston Rd, Suite 210, Weston, FL 33326-1912 | 2007-08-07 |
| 1699807271 | Glenn Barry Sterling | Dermatology | 1040 Weston Rd, Suite 220, Weston, FL 33326-1978 | 2007-03-10 |
| 1568512598 | Laura Jean Peralta | Family Medicine | 1040 Weston Rd, Suite 215, Weston, FL 33326-1912 | 2007-01-11 |
| 1912086810 | Mark I Tafeen | Pediatrics | 1040 Weston Rd, Suite #310, Weston, FL 33326-1978 | 2006-11-03 |
| 1780775098 | Edwin Antonio Gomez | Psychiatry & Neurology | 1040 Weston Rd, Suite 210, Weston, FL 33326-1912 | 2006-09-28 |
| 1184732828 | Heather Hosseini Dds Pa | Dentist | 1040 Weston Rd, Ste 225, Weston, FL 33326 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739327 | Rosi Gimeno Therapy, Inc | Counselor | 304 Indian Trace, Suite 933, Weston, FL 33326 | 2020-10-28 |
| 1003425919 | Austin Lee Williams | Counselor | 1398 Sw 160th, Sunrise, FL 33326 | 2020-07-27 |
| 1467086272 | Myriam Taveras D.m.d P.a | Clinic/Center | 15810 West Sr 84, Sunrise, FL 33326 | 2020-03-02 |
| 1487288288 | Marcella Patino | Nurse Practitioner | 2300 North Commerce Parkway, Suite 313, Weston, FL 33326 | 2020-03-02 |
| 1194375451 | Heather Silversmith | Dietitian, Registered | 1875 North Corporate Lakes Blvd, Suite 300, Weston, FL 33326 | 2019-09-18 |
| 1669039285 | Jennifer Mann | Dietitian, Registered | 1647 Island Way, Weston, FL 33326 | 2019-05-20 |
| 1194283820 | Focused Home Health Agency, Inc. | Home Health | 2394 Weston Rd, Weston, FL 33326 | 2019-03-12 |
| 1083100796 | Comfort Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1398 Sw 160th Avenue, Suite 101, Sunrise, FL 33326 | 2018-07-05 |
| 1356839120 | Vision Optique II LLC | Optometrist | 2200 N Commerce Pkwy Ste 110, Weston, FL 33326 | 2018-04-27 |
| 1033654678 | Sirahaydee Pena-alcantara | Registered Nurse | 1571 Fairlake Trace Apt 1608, Weston, FL 33326 | 2017-01-05 |
| Find all providers in zip 33326 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421344 | Lindsay A Ringdahl Dmd Ms Pa | Dentist | 85 Weston Rd Unit 102, Weston, FL 33326-1158 | 2019-11-07 |
| 1194200840 | Marissa N. Cooper D.m.d., P.a. | Dentist | 1600 Town Center Cir Ste A, Weston, FL 33326-3641 | 2018-09-28 |
| 1881139145 | Zombek Orthodontics Pa | Dentist | 1040 Weston Rd Ste 200, Weston, FL 33326-1977 | 2016-12-22 |
| 1427321694 | John J Marchetto | Dentist | 1600 Town Center Boulevard, Suite A, Weston, FL 33326-3641 | 2012-02-17 |
| 1629349444 | Gina Cozzarelli | Dentist | 1445 Majesty Ter, Weston, FL 33327-2309 | 2012-01-25 |
| 1245544840 | Edward C. Michaud, D.d.s. | Dentist | 512 Boston Post Road, Weston, MA 02493 | 2010-08-06 |
| 1528395761 | Kathleen Valencia | Dentist | 2575 Glades Cir Ste 2, Weston, FL 33327-2254 | 2009-11-09 |
| 1528199197 | Neil De Peralto | Dentist | 609 Live Oak Ln, Weston, FL 33327-2463 | 2007-03-08 |
| 1841321775 | Nhat M. Le | Dentist | 2625 Executive Park Dr, Suite 8, Weston, FL 33331-3634 | 2007-03-09 |
| 1033288279 | Unae K. Han | Dentist | 30 Colpitts Rd, Weston, MA 02493-1534 | 2006-11-06 |
| Find all providers in WESTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.