Active NPI
Miguel A Frisancho, DDS
- Dentist
- Madera, CA
National Provider Identifier
1124271937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57851
- Practice address
- 2300 Riverview Dr Apt 268
Madera, CA 93637-2789 - Phone
- (559) 975-7474
- NPI assigned
- Oct 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 57851 | CA | Primary |
Addresses
Primary practice location
2300 Riverview Dr Apt 268
Madera, CA 93637-2789
Mailing address
2300 Riverview Dr Apt 268
Madera, CA 93637-2789
Phone (559) 975-7474
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miguel a Frisancho DDS Inc | Current | Accepting new patients |
Interoperability endpoints
- mfrodriguez@direct.westerndental.com
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Fair Oaks, CA
- NPI 1992521538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1124271937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 RIVERVIEW DR APT 268",
"city": "MADERA",
"state": "CA",
"postal_code": "936372789",
"telephone_number": "559-975-7474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 RIVERVIEW DR APT 268",
"city": "MADERA",
"state": "CA",
"postal_code": "936372789",
"telephone_number": "559-975-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRISANCHO",
"first_name": "MIGUEL",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-24",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.