Individual provider Active NPI

Stephen Frugoli, DMD

  • General Practice Dentistry
  • Dayton, NV
National Provider Identifier
1124558853
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6933 Issued in NV
Practice address
901 Medical Center Dr
Dayton, NV 89403-7458
Phone
(775) 246-7122
NPI assigned
Jun 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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 6933 NV Primary

Addresses

Primary practice location

901 Medical Center Dr
Dayton, NV 89403-7458

Mailing address

901 Medical Center Dr
Dayton, NV 89403-7458
Phone (775) 246-7122

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address steve@frugolifamilydentistry.com

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

State licenses

LicenseStateTypeSpecialty
6933NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bad Ass Dentistry by Frugoli LTD Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1124558853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MEDICAL CENTER DR",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894037458",
            "telephone_number": "775-246-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MEDICAL CENTER DR",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894037458",
            "telephone_number": "775-246-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUGOLI",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steve@frugolifamilydentistry.com",
            "affiliation": "N",
            "address_1": "901 Medical Center Dr",
            "city": "Dayton",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894037458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.