Individual provider Active NPI

Jose M Friman, DMD

  • Dentist
  • West Palm Beach, FL
National Provider Identifier
1053796938
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21468 Issued in FL
Practice address
505 Avenida Alegre
West Palm Beach, FL 33405-2237
Phone
(561) 315-5570
NPI assigned
Jul 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21468 FL Primary

Addresses

Primary practice location

505 Avenida Alegre
West Palm Beach, FL 33405-2237

Mailing address

505 Avenida Alegre
West Palm Beach, FL 33405-2237
Phone (561) 315-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160308002914 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2668778200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21468FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1053796938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 AVENIDA ALEGRE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334052237",
            "telephone_number": "561-315-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 AVENIDA ALEGRE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334052237",
            "telephone_number": "561-315-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIMAN",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.