Larissa E Freytag, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D009179 Issued in AZ

Practice address

9740 N Oracle Rd Ste 100
Oro Valley, AZ 85704-7614

Phone

(520) 365-6703

NPI assigned

Oct 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Robert W. Fry, D.D.S., M.S., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Overland Park, KS
  • NPI 1174640874
  NPD (past)
• Jeremy R. Fry, D.D.S., M.S., LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Overland Park, KS
  • NPI 1841569126
  NPD (past)

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1124303995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 COLLEGE BLVD STE 202",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102188",
            "telephone_number": "913-951-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 N ORACLE RD STE 100",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857047614",
            "telephone_number": "520-365-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREYTAG",
        "first_name": "LARISSA",
        "middle_name": "E",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KS",
            "license": "60581",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D009179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda J Foxe, DPT
• Kagran Franco
• Frank Emmert DDS PLLC
• Kimberly Ann Frazier, APRN, CRNA
• Jacquelyn Jeanne Freeman, D.D.S.
• David Jay Friedman, MD
• Fully Wired Inc
• Patrycja Monika Furga-Ngako, FNP-C
• Omar Arif Gafur
• Mianna Gale, DNP, APRN, PMHNP-BC

• Orthodontics and Dentofacial Orthopedics Dentistry in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.