Kenneth Brian Frostad, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22882 Issued in CA

Practice address

8680 Greenback Lane Suite 109
Orangevale, CA 95662

Phone

(916) 962-0545

Fax

(916) 962-0927

NPI assigned

Apr 16, 2007

Last updated

Mar 7, 2025By 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 15, 2018 through Mar 15, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sierra Periodontal Group

  • Periodontics
  • Orangevale, CA
  • NPI 1639492226
  NPD

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1043435076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 GREENBACK LANE SUITE 109",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "95662",
            "telephone_number": "916-962-0545",
            "fax_number": "916-962-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 GREENBACK LANE SUITE 109",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "95662",
            "telephone_number": "916-962-0545",
            "fax_number": "916-962-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROSTAD",
        "first_name": "KENNETH",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "22882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Frank, LEP, BCBA
• Friendly Care Home II
• Robert Froh, DC
• Frontline Home Health Care, Inc.
• Frontliners Hospice Care
• Lindi E. Gallagher
• Isabella Garcia
• Jamie Garrison
• Gary C White Optometric Corporation
• Gateway Residential Programs Hickory House

• Periodontics in Orangevale, CA
• Providers in Orangevale, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.