Eric Joseph Fritsche

Primary specialty

DentistTaxonomy code 122300000X

License

2024020828 Issued in MO

Practice address

3009 Highway K
O Fallon, MO 63368-8696

Phone

(636) 379-7552

NPI assigned

Jun 10, 2024

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Eric Joseph Jenkins-Fritsche Other name

Medicare fee-for-service enrollment

Enrolled in MO

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

Networks

• IA HMO C-SNP

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.

• Alex Sharifian DDS Ofallon Modern Dentistry PC

  dba O'Fallon Modern Dentistry

  • General Practice Dentistry
  • O'Fallon, MO
  • NPI 1407281314
  NPD (past)

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1043052293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SNOWBERRY RIDGE DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667692",
            "telephone_number": "314-517-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688696",
            "telephone_number": "636-379-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITSCHE",
        "first_name": "ERIC",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2024020828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "JENKINS-FRITSCHE",
            "middle_name": "JOSEPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David A Friedman, MD
• Friedrichs Physical Therapy, LLC (Spirit Physical Therapy)
• David Friedrichs, DPT, CMPT
• Erin Friesen
• Jennifer Frieswick
• Frontier Integrated Health Center Inc
• Michelle Fruend
• Amanda Fullerton, MOT, OTR/L
• Janusz Marek Furman, PT
• Brandon Gabler, DC

• Dentist in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.