M. Scott Frey, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009961 Issued in IN

Practice address

506 Corda Blvd
Crawfordsville, IN 47933-4935

Phone

(765) 362-3333

Fax

(765) 362-8641

NPI assigned

Jul 31, 2006

Last updated

May 15, 2012By 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

Medicare fee-for-service enrollment

Enrolled in IN

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

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1043226244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 CORDA BLVD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479334935",
            "telephone_number": "765-362-3333",
            "fax_number": "765-362-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 CORDA BLVD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479334935",
            "telephone_number": "765-362-3333",
            "fax_number": "765-362-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "M. SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franciscan Physician Network
• Franciscan Physician Network
• Franciscan Physician Network
• Angela Frantsi, NP
• Melinda Louise Frazee, MS
• Charles R Friend, D.O.
• Full Spectrum ABA Therapy
• Full Spectrum ABA Therapy
• Roger B Gandionco, MD
• Nicholas E Garner, RDN

• General Practice Dentistry in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.