Active NPI
Harrington and Frazier Associated Orthodontists S.C.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Green Bay, WI
National Provider Identifier
1194944991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2345-015
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Frazier, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33389500 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Green Bay, WI
- NPI 1831318658
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.