Organization Active NPI

Harrington and Frazier Associated Orthodontists S.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Green Bay, WI
National Provider Identifier
1194944991
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2345-015 Issued in WI
Legal business name
HARRINGTON AND FRAZIER ASSOCIATED ORTHODONTISTS S.C.
Practice address
700 E Walnut St
Green Bay, WI 54301-4052
Phone
(920) 432-0634
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Frazier, DDSNPI 1831318658
Title
President
Phone
(920) 432-0634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2345-015 WI Primary

Addresses

Primary practice location

700 E Walnut St
Green Bay, WI 54301-4052

Mailing address

700 E Walnut St
Green Bay, WI 54301-4052
Phone (920) 432-0634

Other identifiers 1

IdentifierTypeStateIssuer
33389500MedicaidWI

National Provider Directory

National Provider Directory

Locations

700 E Walnut St
Green Bay, WI 54301
Phone (920) 432-0634

Practitioners & affiliated clinicians

Practitioners 1

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194944991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E WALNUT ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014052",
            "telephone_number": "920-432-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E WALNUT ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014052",
            "telephone_number": "920-432-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRINGTON AND FRAZIER ASSOCIATED ORTHODONTISTS S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-432-0634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "2345-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33389500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.