Organization Active NPI

Robert L Friess DMD PC

  • Customized Equipment (DME)
  • Salem, OR
National Provider Identifier
1245609049
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ROBERT L FRIESS DMD PC
Practice address
3295 Triangle Dr SE
Ste 242
Salem, OR 97302-4579
Phone
(503) 585-0101
Fax
(503) 585-6365
NPI assigned
Sep 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Robert Friess, DMDNPI 1649310285
Title
Owner
Phone
(503) 585-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

3295 Triangle Dr SE
Ste 242
Salem, OR 97302-4579

Mailing address

3295 Triangle Dr SE
Ste 242
Salem, OR 97302-4579
Phone (503) 585-0101

National Provider Directory

National Provider Directory

Locations

3295 Triangle Dr SE
Ste 242
Salem, OR 97302
Phone (503) 585-0101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1245609049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 TRIANGLE DR SE",
            "address_2": "STE 242",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024579",
            "telephone_number": "503-585-0101",
            "fax_number": "503-585-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 TRIANGLE DR SE",
            "address_2": "STE 242",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024579",
            "telephone_number": "503-585-0101",
            "fax_number": "503-585-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L FRIESS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "FRIESS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-585-0101",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.