Individual provider Active NPI

J. Thomas Frazee, DMD

  • General Practice Dentistry
  • Mattapoisett, MA
National Provider Identifier
1184770489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12147 Issued in MA
Practice address
61 County Rd
Mattapoisett, MA 02739-1652
Phone
(508) 758-6913
Fax
(508) 758-6914
NPI assigned
Jan 27, 2007
Sex
Male
Sole proprietor
Yes

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
General Practice Dentistry 1223G0001X 12147 MA Primary

Addresses

Primary practice location

61 County Rd
Mattapoisett, MA 02739-1652

Mailing address

175 Marys Pond Rd
Rochester, MA 02770-4018
Phone (508) 763-4621

Other names 1

  • John Thomas Frazee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12147MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Feras Awad, DDS, PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184770489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MARYS POND RD",
            "city": "ROCHESTER",
            "state": "MA",
            "postal_code": "027704018",
            "telephone_number": "508-763-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 COUNTY RD",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391652",
            "telephone_number": "508-758-6913",
            "fax_number": "508-758-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZEE",
        "first_name": "J. THOMAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "FRAZEE",
            "middle_name": "THOMAS",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mattapoisett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.