Shane A. Fisher, DDS
NPI 1285624171ActiveIndividual· Dentist, Pediatric Dentistry· Wilton Manors, FL
Dentist, Pediatric Dentistry (DDS) in Wilton Manors, Florida, licensed in FL, IL and WI, with an NPI issued in October 2005. Patterson Companies, Inc. reported $17.66 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1285624171 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Oct 24, 2005 |
| Last updated in NPPES | Apr 24, 2025 |
| Certified by provider | Apr 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | DN29834 | FL |
| Dentist | 122300000X | 019-025019 | IL |
| Dentist, Pediatric Dentistry | 1223P0221X | 025-001997 | IL |
| Dentist, Pediatric Dentistry | 1223P0221X | 5127015 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2024$17.66 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Patterson Companies, Inc. | $17.66 | 1 |
What the 2024 payments were for
- Food and Beverage$17.66 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other pediatric dentists in Wilton Manors
- 1275878241
- 1417996174
- 1659469070
- 1760570105
- 1063483444
- 1124151592
- 1073053971
- 1992380968