Individual provider Active NPI

Raymond Lee Frye II, DMD

  • General Practice Dentistry
  • Tacoma, WA
National Provider Identifier
1205926110
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9236 Issued in OR
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

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DEN00201961COMDGeneral Practice Dentistry
D9236ORMDGeneral Practice Dentistry
DE00008175WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Frye & Correll PLLC General Practice Past Accepting new patients
Alan F Macks PastSince Jun 25, 2023 Accepting new patients
Frye & Webley PLLC General Practice PastSince Jun 25, 2023 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.

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.

Verify at the official NPI Registry.