Active NPI
Frederick J Freytag, D.D.S.
- General Practice Dentistry
- Coshocton, OH
National Provider Identifier
1245405679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14759
- Practice address
- 713 Main St
Coshocton, OH 43812-1616 - Phone
- (740) 622-4421
- NPI assigned
- Apr 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14759 | OH | Primary |
Addresses
Primary practice location
713 Main St
Coshocton, OH 43812-1616
Mailing address
205 Lincliff Dr
Granville, OH 43023-9158
Phone (740) 587-7672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0319417 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14759 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Marc Lewis & Thomas Niederhelman LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Coshocton, OH
- NPI 1588795884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1245405679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 LINCLIFF DR",
"city": "GRANVILLE",
"state": "OH",
"postal_code": "430239158",
"telephone_number": "740-587-7672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 MAIN ST",
"city": "COSHOCTON",
"state": "OH",
"postal_code": "438121616",
"telephone_number": "740-622-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREYTAG",
"first_name": "FREDERICK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-27",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "14759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0319417",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coshocton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.