Organization Active NPI

Russell N. Frys Jr,, DDS PA

  • General Practice Dentistry
  • Edina, MN
National Provider Identifier
1174884753
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8040 Issued in MN
Legal business name
RUSSELL N. FRYS JR,, DDS PA
Practice address
7550 France Ave South
Suite 138
Edina, MN 55435-4761
Phone
(952) 831-1332
Fax
(952) 831-0553
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Dr. Russell Nicholas Frys, DDS
Title
President
Phone
(952) 831-1332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8040 MN Primary

Addresses

Primary practice location

7550 France Ave South
Suite 138
Edina, MN 55435-4761

Mailing address

7550 France Ave S
Suite 138
Edina, MN 55435-5624
Phone (952) 831-1332

National Provider Directory

National Provider Directory

Locations

7550 France Ave S
Ste 138
Edina, MN 55435
Phone (763) 300-8971

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1174884753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 FRANCE AVE S",
            "address_2": "SUITE 138",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355624",
            "telephone_number": "952-831-1332",
            "fax_number": "952-831-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 FRANCE AVE SOUTH",
            "address_2": "SUITE 138",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354761",
            "telephone_number": "952-831-1332",
            "fax_number": "952-831-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL N. FRYS JR,, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "FRYS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-831-1332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.