NPIMap

Individual provider Active NPI

Gwendolyn Smith Frazier, DDS

  • Dentist
  • Huntsville, AL
National Provider Identifier
1205023223
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
LNO 4466 Issued in AL
Practice address
1616 Pulaski Pike NW
Huntsville, AL 35816-2534
Phone
(256) 536-2771
Fax
(256) 539-5284
NPI assigned
Oct 3, 2007
Last updated
Oct 3, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X LNO 4466 AL Primary

Addresses

Primary practice location

1616 Pulaski Pike NW
Huntsville, AL 35816-2534

Mailing address

PO Box 5748
Huntsville, AL 35814-5748
Phone (256) 536-2771

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

LicenseStateTypeSpecialty
LNO 4466ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
J Taylor DMD PC Past Accepting new patients
J Will Baker DDS LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1205023223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5748",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358145748",
            "telephone_number": "256-536-2771",
            "fax_number": "256-539-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 PULASKI PIKE NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358162534",
            "telephone_number": "256-536-2771",
            "fax_number": "256-539-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "GWENDOLYN",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "LNO 4466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.