Individual provider Active NPI

Bryan Preston Frichter, DDS

  • Pediatric Dentistry
  • Hammond, LA
National Provider Identifier
1225112535
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3683 Issued in LA
Practice address
1230 S Morrison Blvd
Hammond, LA 70403-5702
Phone
(985) 902-4477
Fax
(985) 419-0018
NPI assigned
Oct 24, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 3683 LA Primary

Addresses

Primary practice location

1230 S Morrison Blvd
Hammond, LA 70403-5702

Mailing address

1230 S Morrison Blvd
Hammond, LA 70403-5702
Phone (985) 902-4477

Other identifiers 3

IdentifierTypeStateIssuer
550794OtherLAUNITED CONCORDIA
1836834MedicaidLA
A1929OtherLABLUE CROSS DENTAL

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
3683LAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225112535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S MORRISON BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035702",
            "telephone_number": "985-902-4477",
            "fax_number": "985-419-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S MORRISON BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035702",
            "telephone_number": "985-902-4477",
            "fax_number": "985-419-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICHTER",
        "first_name": "BRYAN",
        "middle_name": "PRESTON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "3683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "550794",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1836834",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS DENTAL",
            "identifier": "A1929",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.