Individual provider Active NPI

Patti Ann Froeber, DDS

  • General Practice Dentistry
  • Minneapolis, MN
National Provider Identifier
1245294792
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10272 Issued in MN
Practice address
312 Central Ave SE
Suite 440
Minneapolis, MN 55414
Phone
(612) 379-2428
Fax
(612) 379-0538
NPI assigned
Apr 13, 2006
Reactivated
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10272 MN Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

312 Central Ave SE
Suite 440
Minneapolis, MN 55414

Mailing address

312 Central Ave SE
Suite 440
Minneapolis, MN 55414
Phone (612) 379-2428

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
10272MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Patti Froeber Comprehensive Dentistry PA General Practice Current Accepting new patients
Le'Centre Dentistry P.L.L.C. PastSince Aug 6, 2023 Accepting new patients

Locations

312 Central Ave SE
Ste 440
Minneapolis, MN 55414
Phone (612) 379-2428

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1245294792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CENTRAL AVE SE",
            "address_2": "SUITE 440",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55414",
            "telephone_number": "612-379-2428",
            "fax_number": "612-379-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CENTRAL AVE SE",
            "address_2": "SUITE 440",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55414",
            "telephone_number": "612-379-2428",
            "fax_number": "612-379-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROEBER",
        "first_name": "PATTI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2009-10-21",
        "deactivation_date": "2006-04-13",
        "reactivation_date": "2007-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10272",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.