Active NPI
J. Thomas Frazee, DMD
- General Practice Dentistry
- Mattapoisett, MA
National Provider Identifier
1184770489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12147
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12147 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Mattapoisett, MA
- NPI 1083944680
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.