Individual provider Active NPI

Jason Lee Friesz, DDS

  • General Practice Dentistry
  • Saint Cloud, MN
National Provider Identifier
1285686071
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11668 Issued in MN
Practice address
84 33Rd Ave S
St Cloud, MN 56301-3722
Phone
(320) 253-1370
Fax
(320) 253-1794
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D11668 MN Primary

Addresses

Primary practice location

84 33Rd Ave S
St Cloud, MN 56301-3722

Mailing address

84 33Rd Ave S
St Cloud, MN 56301-3722
Phone (320) 253-1370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150601002868 MN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4082935192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D11668MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jason L. Friesz DDS PA Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285686071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 33RD AVE S",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563013722",
            "telephone_number": "320-253-1370",
            "fax_number": "320-253-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 33RD AVE S",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563013722",
            "telephone_number": "320-253-1370",
            "fax_number": "320-253-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESZ",
        "first_name": "JASON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.