Active NPI
Raymond Lee Frye II, DMD
- General Practice Dentistry
- Tacoma, WA
National Provider Identifier
1205926110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D9236
- Practice address
- 5319 Tacoma Mall Blvd
Tacoma, WA 98409-7072 - Phone
- (253) 476-1030
- Fax
- (253) 476-1031
- NPI assigned
- Oct 13, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00008175 | WA | |
| General Practice Dentistry | 1223G0001X | DEN00201961 | CO | |
| General Practice Dentistry | 1223G0001X | D9236 | OR | Primary |
Addresses
Primary practice location
5319 Tacoma Mall Blvd
Tacoma, WA 98409-7072
Mailing address
6825 E Hampden Ave
Ste 103
Denver, CO 80224-3029
Phone (303) 355-1645
Other practice location 1
2021 NW Myhre Pl Ste 107
Silverdale, WA 98383-8562
Phone (360) 692-1134
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN00201961 | CO | MD | General Practice Dentistry |
| D9236 | OR | MD | General Practice Dentistry |
| DE00008175 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frye & Correll PLLC | General Practice | Past | Accepting new patients |
| Alan F Macks | Past | Accepting new patients | |
| Frye & Webley PLLC | General Practice | Past | Accepting new patients |
| Scott W Stewart DMD PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Tacoma, WA
- NPI 1396281309
-
- General Practice Dentistry
- Silverdale, WA
- NPI 1538007943
-
- General Practice Dentistry
- Tacoma, WA
- NPI 1689512089
-
- General Practice Dentistry
- Silverdale, WA
- NPI 1265574537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1205926110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6825 E HAMPDEN AVE",
"address_2": "STE 103",
"city": "DENVER",
"state": "CO",
"postal_code": "802243029",
"telephone_number": "303-355-1645",
"fax_number": "303-355-3647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5319 TACOMA MALL BLVD",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097072",
"telephone_number": "253-476-1030",
"fax_number": "253-476-1031"
}
],
"practiceLocations": [
{
"address_1": "2021 NW Myhre Pl Ste 107",
"address_purpose": "LOCATION",
"city": "Silverdale",
"state": "WA",
"postal_code": "983838562",
"country_code": "US",
"telephone_number": "360-692-1134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRYE",
"first_name": "RAYMOND",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00008175",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN00201961",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D9236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.