Individual provider Active NPI

Frank Joseph Emmert, DDS

  • Dentist
  • Holloman AFB, NM
National Provider Identifier
1063785830
Registry record updated Jul 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00201829 Issued in CO
Practice address
280 1St St
BLDG 20
Holloman AFB, NM 88330-8273
Phone
(575) 572-3742
NPI assigned
Feb 9, 2012
Last updated
Jul 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00201829 CO Primary

Addresses

Primary practice location

280 1St St
BLDG 20
Holloman AFB, NM 88330-8273

Mailing address

280 1St St
BLDG 20
Holloman AFB, NM 88330-8273
Phone (575) 572-3742

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
00201829COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Frank Emmert DDS PLLC CurrentSince Jan 17, 2021 Accepting new patients

Locations

10371 N Oracle Rd
Ste 101
Tucson, AZ 85737
Phone (520) 575-4084

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1063785830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 1ST ST",
            "address_2": "BLDG 20",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "883308273",
            "telephone_number": "575-572-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 1ST ST",
            "address_2": "BLDG 20",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "883308273",
            "telephone_number": "575-572-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMERT",
        "first_name": "FRANK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00201829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holloman AFB, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; 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.