Ada Lavonna Frazier, DO

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS4310 Issued in AL

Practice address

11808 Hwy 231 431 N
Meridianville, AL 35759-2126

Phone

(256) 828-1500

Fax

(256) 828-1515

NPI assigned

May 22, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1124285416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "address_2": "11808 HWY 231/431 N",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357592126",
            "telephone_number": "256-828-1500",
            "fax_number": "256-828-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 HWY 231 431 N",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357592126",
            "telephone_number": "256-828-1500",
            "fax_number": "256-828-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "ADA",
        "middle_name": "LAVONNA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "DS4310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CRH Umc LLC
• Sandy Davis, PHARMD
• Sydney Elise Dirigo, BCBA
• Lauren Thornton Duffey, PHARM D.
• Jeffrey Thomas Franzen, DC
• Margaret-Ann Bishop Gist
• Julissa Gonzalez Rodriguez, PHARMD
• McKenzie Deshawn Gordon
• Morgan Rebekah Hanson, M.S., CCC-SLP
• Healthsource of Meridianville

• General Practice Dentistry in Meridianville, AL
• Providers in Meridianville, AL by specialty
• General Practice Dentistry in Alabama

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

Verify at the official NPI Registry.