Justin Lund Frost

Primary specialty

DentistTaxonomy code 122300000X

License

D011704 Issued in AZ

Practice address

1400 N Gilbert Rd Ste a
Gilbert, AZ 85234-2321

Phone

(480) 571-4004

NPI assigned

Jul 14, 2022

Last updated

Mar 12, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1164156170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD STE A",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342321",
            "telephone_number": "480-571-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD STE A",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342321",
            "telephone_number": "480-571-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4202 N 32nd St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850184746",
            "country_code": "US",
            "telephone_number": "602-704-3498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROST",
        "first_name": "JUSTIN",
        "middle_name": "LUND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61953",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Fritz, DO
• Kaitlyn Fritz
• Beatrice B. Frizane, LPN
• Ashley Froese, DO
• Hannah E Frost, PT
• Tiffany Marie Fry, FNP
• Matthew J Fryberger, P.T.
• Frys Food and DRGS
• Lee Fu, MD
• Hadass Fuerst, D.O.

• Dentist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.