Individual provider Active NPI

Frank S. Fratto Jr., D.D.S.

  • General Practice Dentistry
  • Cambria, CA
National Provider Identifier
1114974409
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31611 Issued in CA
Practice address
2150 Main St
Cambria, CA 93428-3022
Phone
(805) 927-4811
Fax
(805) 927-0818
NPI assigned
May 30, 2006
Last updated
Dec 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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 31611 CA Primary

Addresses

Primary practice location

2150 Main St
Cambria, CA 93428-3022

Mailing address

2150 Main St
Cambria, CA 93428-3022
Phone (805) 927-4811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150708001812 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6305158122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31611CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1114974409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 MAIN ST",
            "city": "CAMBRIA",
            "state": "CA",
            "postal_code": "934283022",
            "telephone_number": "805-927-4811",
            "fax_number": "805-927-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 MAIN ST",
            "city": "CAMBRIA",
            "state": "CA",
            "postal_code": "934283022",
            "telephone_number": "805-927-4811",
            "fax_number": "805-927-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATTO",
        "first_name": "FRANK",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambria, CA

Sources for this page

Verify at the official NPI Registry.