John Thomas Frey, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017047 Issued in MI

Practice address

6220 Jupiter Ave NE
Suite B
Belmont, MI 49306-8708

Phone

(616) 222-0202

Fax

(616) 222-0203

NPI assigned

Jul 20, 2005

Last updated

Feb 6, 2012By the provider in NPPES

Sex

Male

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Frey Family Dentistry, PLC

  • General Practice Dentistry
  • Belmont, MI
  • NPI 1245244151
  NPD (past) Authorized official

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1003815002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 JUPITER AVE NE STE B",
            "city": "BELMONT",
            "state": "MI",
            "postal_code": "493068709",
            "telephone_number": "616-222-0202",
            "fax_number": "616-222-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 JUPITER AVE NE",
            "address_2": "SUITE B",
            "city": "BELMONT",
            "state": "MI",
            "postal_code": "493068708",
            "telephone_number": "616-222-0202",
            "fax_number": "616-222-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Featherby, OTR/L
• Urszula M Firlik, DDS
• Carla Floyd-Slabaugh, OTR/L
• Amy Frazee, PT
• Frey Family Dentistry, PLC
• Phillip Joseph Gaca, DO
• Stephanie Gulliver
• Timothy Robert Hartman, D.C.
• Virginia M Hayataka
• Kathleen Ann Hickey, RN

• General Practice Dentistry in Belmont, MI
• Providers in Belmont, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.