Frontline Empire LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FRONTLINE EMPIRE LLC

Practice address

1310 E Southern Ave
Mesa, AZ 85204-5105

Phone

(817) 404-3365

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Dan Nkotanyi

Title

Administrator

Phone

(817) 404-3365

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1194421172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045105",
            "telephone_number": "817-404-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045105",
            "telephone_number": "817-404-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINE EMPIRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "NKOTANYI",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-404-3365"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Stephen Frimer
• Mary Kathryn Fritsch
• Edward R Fritz, D.D.S.
• Melanie Fritz
• Dan Froerer, DC
• Adam Fishel Frose, PH.D., CCSH
• Lacinda L Froseth, DC
• Steven L. Frost, D.D.S.
• Stuart Lund Frost, D.D.S.
• Taylor Frost, SLP-A

• All providers in Mesa, AZ
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.