Individual provider Active NPI

James Edward Frnka, DDS

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1174638134
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12564 Issued in TX
Practice address
655 W Illinois Ave
Suite 920
Dallas, TX 75224
Phone
(214) 948-7621
Fax
(214) 943-3008
NPI assigned
Aug 20, 2006
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12564 TX Primary

Addresses

Primary practice location

655 W Illinois Ave
Suite 920
Dallas, TX 75224

Mailing address

655 W Illinois Ave
Suite 920
Dallas, TX 75224
Phone (214) 948-7621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150210000454 TX Order and Referring Only - DentistPractitioner - Dentist 1759606908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12564TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Dental Clinic PA General Practice Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1174638134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W ILLINOIS AVE",
            "address_2": "SUITE 920",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75224",
            "telephone_number": "214-948-7621",
            "fax_number": "214-943-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W ILLINOIS AVE",
            "address_2": "SUITE 920",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75224",
            "telephone_number": "214-948-7621",
            "fax_number": "214-943-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRNKA",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.