Claire Rebecca Freise, DMD
Individual provider Active NPI Dentist · Arnold, MO
NPI 1285201871 · NPPES record last updated Feb 8, 2023
Key facts
- NPI
- 1285201871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2021020347 (MO)
- Practice address
- 849 Jeffco Blvd # 200
Arnold, MO 63010-1409 - Phone
- (636) 287-0440
- NPI assigned
- Jun 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230715000232 | MO | Practitioner - Dentist | 3476913971 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021020347 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current |
Accepting new patients | |
| Compass Health, Inc | Current |
Accepting new patients | |
| Bryan Watanabe DDS Ladue Dental Group, PC | Past |
Accepting new patients |
Locations
849 Jeffco Blvd
#200
Arnold, MO 63010
Phone (636) 287-0440
849 Jeffco Blvd
Arnold, MO 63010
Phone (636) 282-5184
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
4 Hickory Ridge Rd
Ste 600
Hillsboro, MO 63050
Phone (636) 481-6040
4300 Gravois Rd
House Springs, MO 63051
Phone (636) 321-0150
1032 Crosswinds Ct
Wentzville, MO 63385
Phone (636) 332-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2021020347 | MO | Yes |
Addresses
Primary practice location
849 Jeffco Blvd # 200
Arnold, MO 63010-1409
Mailing address
849 Jeffco Blvd # 200
Arnold, MO 63010-1409
Phone (636) 287-0440
Other providers in Arnold, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.