Janice O. Frederick, D.D.S.,P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9631 Issued in MN

Legal business name

JANICE O. FREDERICK, D.D.S.,P.A.

Practice address

6410 Nicollet Ave
Richfield, MN 55423-1613

Phone

(612) 866-7300

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Janice Oberg Frederick, D.D.S.

Title

Owner

Phone

(612) 866-7300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104978279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 NICOLLET AVE",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 NICOLLET AVE",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231613",
            "telephone_number": "612-866-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE O. FREDERICK, D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "OBERG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-866-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Marie Jackson
• Marna Ann Jacobi, NP
• Mary Elizabeth Jaeger, RN, DNP, PCNS
• Ubah Adan Jama
• Janet G. Overman, Licsw
• Vincent Jigbeh Jaryan, CNP
• Jeffrey E Oneil DDS PA
• Kathryn C Jenewein, DPM
• Jennifer Pearson LMFT
• Lisa Dickey Cashin Jernell, DDS

• General Practice Dentistry in Richfield, MN
• Providers in Richfield, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.