Jacob E Freilich, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2020008411 Issued in MO

Practice address

111 N Hwy 67
Florissant, MO 63031-5901

Phone

(314) 408-8390

NPI assigned

Mar 7, 2019

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Soh of Missouri Samson Liu PC

  dba Lindbergh Dental & Orthodontics

  • Dentist
  • Weldon Spring, MO
  • NPI 1427550078
  NPD (past)

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1124586300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 DELMAR BLVD",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631303717",
            "telephone_number": "646-494-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N HWY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315901",
            "telephone_number": "314-408-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREILICH",
        "first_name": "JACOB",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-07",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2020008411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Franzen Jr., PT
• Erica Frazier
• Wendy Devonne Frazier, M.D.
• Eunice Delores Fredrickson, P.T.
• Charlene Freeman
• Fresenius Vascular Care St Louis ASC LLC (Azura Surgery Center St. Louis)
• Fresenius Vascular Care St Louis LLC (Azura Vascular Care St. Louis)
• Julia Freund, PA-C
• Lawrence Paul Frey, R.PH.
• Perry Fricke, ATC

• Orthodontics and Dentofacial Orthopedics Dentistry in Florissant, MO
• Providers in Florissant, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.