Christopher J Fronczak, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600110 Issued in MI

Practice address

8080 Moorsbridge Rd Ste 101
Portage, MI 49024-4422

Phone

(269) 679-6159

NPI assigned

Jun 4, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fronczak Dentistry PLLC

  • General Practice Dentistry
  • Portage, MI
  • NPI 1457929473
  NPD Authorized official

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1225696248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 RIVERBANK ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481464315",
            "telephone_number": "313-515-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 MOORSBRIDGE RD STE 101",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244422",
            "telephone_number": "269-679-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONCZAK",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Erin Frieder, PH.D.
• Amy Jo Fritz, NP
• Erik Reynold Fritzen, LLMSW
• Corrine N Fritzsche
• Fronczak Dentistry PLLC
• Jeffery Fry
• Yanyao Fu, D.M.D.
• Jonathan Fujii
• Brian Jay Fuller, PH.D.
• Melissa Portia Fuller, LPC

• General Practice Dentistry in Portage, MI
• Providers in Portage, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.