Active NPI
Charles Joseph Fritch, DDS
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1225045339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5016
- Practice address
- 4334 NW Expressway
Suite 153
Oklahoma City, OK 73116-1578 - Phone
- (405) 946-1479
- Fax
- (405) 286-1622
- NPI assigned
- Aug 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5016 | OK | Primary |
Addresses
Primary practice location
4334 NW Expressway
Suite 153
Oklahoma City, OK 73116-1578
Mailing address
4334 Northwest Expressway
Suite 153
Oklahoma City, OK 73116
Phone (405) 946-1479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 14, 2016 through Jul 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5016 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1225045339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4334 NORTHWEST EXPRESSWAY",
"address_2": "SUITE 153",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73116",
"telephone_number": "405-946-1479",
"fax_number": "405-286-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4334 NW EXPRESSWAY",
"address_2": "SUITE 153",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731161578",
"telephone_number": "405-946-1479",
"fax_number": "405-286-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRITCH",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "5016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.