Individual provider Active NPI

Virginia Lee Freckelton, DDS

  • Dentist
  • Redwood City, CA
National Provider Identifier
1245239458
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31785 Issued in CA
Practice address
115 Duane St
Redwood City, CA 94062-1614
Phone
(650) 366-7781
Fax
(650) 368-5582
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31785 CA Primary

Addresses

Primary practice location

115 Duane St
Redwood City, CA 94062-1614

Mailing address

115 Duane St
Redwood City, CA 94062-1614
Phone (650) 366-7781

Other identifiers 1

IdentifierTypeStateIssuer
31785OtherCADENTAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150425000047 CA Order and Referring Only - DentistPractitioner - Dentist 4486973443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31785CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245239458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 DUANE ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621614",
            "telephone_number": "650-366-7781",
            "fax_number": "650-368-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 DUANE ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621614",
            "telephone_number": "650-366-7781",
            "fax_number": "650-368-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRECKELTON",
        "first_name": "VIRGINIA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "31785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD",
            "identifier": "31785",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.