Active NPI
Jeffrey Pope Frizzell, DDS
- Dentist
- Memphis, TN
National Provider Identifier
1194706697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS3929
- Practice address
- 4177 Macon Rd
Memphis, TN 38122-2413 - Phone
- (901) 454-6103
- Fax
- (901) 454-6103
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS3929 | TN | Primary |
Addresses
Primary practice location
4177 Macon Rd
Memphis, TN 38122-2413
Mailing address
785 Estate PL 2
Memphis, TN 38120-0639
Phone (901) 766-9002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151123002102 | TN | Order and Referring Only - Dentist | 3577863547 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS3929 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194706697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 ESTATE PL 2",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381200639",
"telephone_number": "901-766-9002",
"fax_number": "901-766-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4177 MACON RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381222413",
"telephone_number": "901-454-6103",
"fax_number": "901-454-6103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIZZELL",
"first_name": "JEFFREY",
"middle_name": "POPE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS3929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.