Active NPI
Dennis Alan Fried, M.D.
- Colon & Rectal Surgery Physician
- The Villages, FL
National Provider Identifier
1033496401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 7140
- Practice address
- 680 Ternberry Forest Dr
The Villages, FL 32162-6446 - Phone
- (843) 568-9160
- NPI assigned
- Nov 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 7140 | SC | Primary |
Addresses
Primary practice location
680 Ternberry Forest Dr
The Villages, FL 32162-6446
Mailing address
680 Ternberry Forest Dr
The Villages, FL 32162-6446
Phone (843) 568-9160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7140 | SC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321056000000",
"number": "1033496401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 TERNBERRY FOREST DR",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321626446",
"telephone_number": "843-568-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 TERNBERRY FOREST DR",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321626446",
"telephone_number": "843-568-9160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIED",
"first_name": "DENNIS",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-12",
"last_updated": "2011-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "SC",
"license": "7140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.