Perry Frydman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6790 Issued in CT

Practice address

965 Hope St
Suite 102
Stamford, CT 06907-2228

Phone

(203) 323-5905

Fax

(203) 323-9285

NPI assigned

Mar 13, 2007

Last updated

May 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1073646873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 KNAPP ST",
            "address_2": "STE 301",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069071741",
            "telephone_number": "203-323-5905",
            "fax_number": "203-323-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 HOPE ST",
            "address_2": "SUITE 102",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069072228",
            "telephone_number": "203-323-5905",
            "fax_number": "203-323-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYDMAN",
        "first_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Frinhani, LMFTA
• Aric Johnathon Frisina-Deyo, DC
• Richard A Frohwirth, PH.D.
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• Robert J Fucigna, MD
• Kirimi Fuller, PSY.D.
• Gerald Fung, MD
• Francesca Furci
• Christina Furniss, SLP

• General Practice Dentistry in Stamford, CT
• Providers in Stamford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.