Renee D Fraser, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

16578 Issued in MI

Practice address

39400 Garfield Rd
Suite 200
Clinton Township, MI 48038-4096

Phone

(586) 286-0700

Fax

(586) 286-5969

NPI assigned

Sep 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• DRS Delaney Plunkett Ralstrom Makowski Thanasas

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clinton Township, MI
  • NPI 1851408892

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235233370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD",
            "address_2": "SUITE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-286-0700",
            "fax_number": "586-286-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD",
            "address_2": "SUITE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-286-0700",
            "fax_number": "586-286-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "RENEE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "16578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3499519",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert J Franchi, DO
• Michael Joseph Francis, R.PH.
• Jennifer Franco
• Frank D Nagy DDS PC
• Mitchell Ryan Franklin, DMD
• Laura Elizabeth Frattini
• Wendy Frauchiger, MD
• Marianne Frazho-Lyons, MSW,LMSW
• Mary Grace Frederick, BCABA, LBA
• Deanna Marie Freed, MSW, LMSW

• Pediatric Dentistry in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.