Individual provider Active NPI

Greg M Frokjer, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Grand Forks, ND
National Provider Identifier
1154405231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
1773 Issued in ND
Practice address
1165C South Columbia Road
Grand Forks, ND 58201-4007
Phone
(701) 772-7379
Fax
(701) 772-9643
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 1773 ND Primary

Addresses

Primary practice location

1165C South Columbia Road
Grand Forks, ND 58201-4007

Mailing address

1165C South Columbia Road
Grand Forks, ND 58201-4007
Phone (701) 772-7379

Other identifiers 2

IdentifierTypeStateIssuer
00Q48FROtherMNBCBS
17834MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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

Enrollment IDStateProvider typePAC IDDetails
I20070606000103 ND Practitioner - Oral Surgery 5193823722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Oral and Facial Surgery PCGroup PAC ID 3072617455, 4 clinicians

Practice addresses (Care Compare)

1165 S Columbia Rd
Suite C
Grand Forks, ND 58201-4007
Phone (701) 772-7379

3231 Greensboro Dr
Suite 103
Bismarck, ND 58503-5413
Phone (701) 751-1663

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oral & Facial Surgery PC CurrentSince Jul 1, 2018 Accepting new patients

Locations

3231 Greensboro Dr
Ste 103
Bismarck, ND 58503
Phone (701) 751-1663

1165 S Columbia Rd
Ste C
Grand Forks, ND 58201
Phone (701) 772-7379

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154405231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165C SOUTH COLUMBIA ROAD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014007",
            "telephone_number": "701-772-7379",
            "fax_number": "701-772-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165C SOUTH COLUMBIA ROAD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014007",
            "telephone_number": "701-772-7379",
            "fax_number": "701-772-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROKJER",
        "first_name": "GREG",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ND",
            "license": "1773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00Q48FR",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17834",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.