Active NPI
Chase Frei, DMD
- General Practice Dentistry
- Marshalltown, IA
National Provider Identifier
1124653860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 09744
- Practice address
- 2615 S Center St
Marshalltown, IA 50158-4501 - Phone
- (641) 352-7180
- NPI assigned
- Mar 3, 2020
- Last updated
- May 14, 2020
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 09744 | IA | Primary |
Addresses
Primary practice location
2615 S Center St
Marshalltown, IA 50158-4501
Mailing address
290 Legrande Circle
Santa Clara, UT 84765
Phone (435) 669-7951
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
| License | State | Type | Specialty |
|---|---|---|---|
| 09744 | IA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1124653860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 LEGRANDE CIRCLE",
"city": "SANTA CLARA",
"state": "UT",
"postal_code": "84765",
"telephone_number": "435-669-7951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 S CENTER ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501584501",
"telephone_number": "641-352-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREI",
"first_name": "CHASE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-03",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "09744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.