Individual provider Active NPI

Lauren Hanna Frisch, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chula Vista, CA
National Provider Identifier
1033764592
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
101973 Issued in CA
Practice address
312 I St
Chula Vista, CA 91910-5605
Phone
(619) 422-3223
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101973 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 101973 CA Primary

Addresses

Primary practice location

312 I St
Chula Vista, CA 91910-5605

Mailing address

312 I St
Chula Vista, CA 91910-5605
Phone (619) 422-3223

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
Master of Science

State licenses

LicenseStateTypeSpecialty
101973CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Frisch DDS Ms Inc Orthodontics and Dentofacial Orthopedics CurrentSince Feb 19, 2023 Accepting new patients
Ivy Avanessian Fua, DDS, Inc PastSince Feb 1, 2022 Accepting new patients
Stephen D. Willens DDS, Inc. PastSince Feb 1, 2022 Accepting new patients

Locations

312 I St
Chula Vista, CA 91910
Phone (517) 648-7491

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1033764592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 I ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105605",
            "telephone_number": "619-422-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 I ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105605",
            "telephone_number": "619-422-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISCH",
        "first_name": "LAUREN",
        "middle_name": "HANNA",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101973",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "101973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.