Organization Active NPI

Frye Dental Group

  • General Practice Dentistry
  • St Louis, MO
National Provider Identifier
1265498844
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE015374 Issued in MO
Legal business name
FRYE DENTAL GROUP
Practice address
7843 Olive Blvd
St Louis, MO 63130
Phone
(314) 863-3772
Fax
(314) 863-3857
NPI assigned
Apr 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Derrick O Neal FryeNPI 1558532127
Title
President Dentist
Phone
(314) 863-3772

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE015374 MO Primary

Addresses

Primary practice location

7843 Olive Blvd
St Louis, MO 63130

Mailing address

7843 Olive Blvd
St Louis, MO 63130
Phone (314) 863-3772

National Provider Directory

National Provider Directory

Locations

7843 Olive Blvd
University City, MO 63130
Phone (314) 863-3772

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": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265498844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7843 OLIVE BLVD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63130",
            "telephone_number": "314-863-3772",
            "fax_number": "314-863-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7843 OLIVE BLVD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63130",
            "telephone_number": "314-863-3772",
            "fax_number": "314-863-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRYE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "O NEAL",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "314-863-3772",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "DE015374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.