Individual provider Active NPI

Brian L. Frandsen, DDS

  • General Practice Dentistry
  • Orem, UT
National Provider Identifier
1053472803
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9125133-9922 Issued in UT
Practice address
165 S Orem Blvd
Orem, UT 84058-3006
Phone
(801) 224-7900
Fax
(801) 224-7969
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9125133-9922 UT Primary

Addresses

Primary practice location

165 S Orem Blvd
Orem, UT 84058-3006

Mailing address

165 S Orem Blvd
Orem, UT 84058-3006
Phone (801) 224-7900

Other practice location 1

3078 W 7800 S Ste 7B
West Jordan, UT 84088-3704
Phone (801) 890-0030

Other practice location 2

14 N Hale St
Grantsville, UT 84029-9315
Phone (435) 884-3476

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

State licenses

LicenseStateTypeSpecialty
9125133-9922UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Frandsen Family Dentistry P.C. Past Accepting new patients

Organizations & group practices 1

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1053472803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 S OREM BLVD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840583006",
            "telephone_number": "801-224-7900",
            "fax_number": "801-224-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 S OREM BLVD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840583006",
            "telephone_number": "801-224-7900",
            "fax_number": "801-224-7969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3078 W 7800 S Ste 7B",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840883704",
            "country_code": "US",
            "telephone_number": "801-890-0030",
            "fax_number": "801-542-0757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 N Hale St",
            "address_purpose": "LOCATION",
            "city": "Grantsville",
            "state": "UT",
            "postal_code": "840299315",
            "country_code": "US",
            "telephone_number": "435-884-3476",
            "fax_number": "435-884-6790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANDSEN",
        "first_name": "BRIAN",
        "middle_name": "L.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "9125133-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.