Kenneth F Freer DDS Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3144 Issued in CA

Legal business name

KENNETH F FREER DDS INC

Practice address

15 Rotary Way
Vallejo, CA 94591-8475

Phone

(707) 643-2307

Fax

(707) 643-7208

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth F Freer, DDSNPI 1750434536

Title

President

Phone

(707) 643-2307

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Frederick Freer, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vallejo, CA
  • NPI 1750434536
  NPD (past) Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043343130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROTARY WAY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918475",
            "telephone_number": "707-643-2307",
            "fax_number": "707-643-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ROTARY WAY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918475",
            "telephone_number": "707-643-2307",
            "fax_number": "707-643-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH F FREER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-643-2307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "3144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ruth Kelso
• Elizabeth Kendrick
• Meghan Elizabeth Kennedy, PA-C
• Sean Joseph Kennedy
• Sheila Kennedy, CAADAC II
• Jerry M Kenny, D.C.
• Malia Vegas Kenny
• Andrea Rebekah Kent
• Tracie Lee Kepler Hoffman, MFT
• Naran Arjan Kerai, RPH

• Orthodontics and Dentofacial Orthopedics Dentistry in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.