Marvin Kirk Freeburg, D,D,S,

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5891 Issued in IA

Practice address

137 Lynn Ave
Suite 109
Ames, IA 50014-7126

Phone

(515) 292-7262

Fax

(515) 292-7270

NPI assigned

Jul 5, 2005

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1154328201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 STONE BROOKE RD",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500102900",
            "telephone_number": "515-232-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 LYNN AVE",
            "address_2": "SUITE 109",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147126",
            "telephone_number": "515-292-7262",
            "fax_number": "515-292-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEBURG",
        "first_name": "MARVIN",
        "middle_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "D,D,S,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "5891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilla L Fox, PHD
• Sophia Malena Francksen, T-LMCH
• Meredith Francom, TLMHC
• Grant Alexander Franklin, TLMHC
• Rachel Lynn Frederick, PA-C
• Kyle Freeman, M.D.
• Sonja Ann Frette, CADC
• James Andrew Friederich, M.D.
• Friendship Ark, Inc.
• Ashely Frieswyk, PSYD

• General Practice Dentistry in Ames, IA
• Providers in Ames, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.