Active NPI
Matthew Frykenberg
- Oral and Maxillofacial Surgery (Dentist)
- North Andover, MA
National Provider Identifier
1295276954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN10000619
- Practice address
- 555 Turnpike St Ste 41a
North Andover, MA 01845-5935 - Phone
- (789) 926-3421
- NPI assigned
- Mar 14, 2017
- Last updated
- Jul 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN10000619 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
555 Turnpike St Ste 41a
North Andover, MA 01845-5935
Mailing address
5 Appletree LN
Andover, MA 01810-4101
Phone (978) 494-2853
Other practice location 1
33 Trafalgar Sq
Nashua, NH 03063-4900
Phone (603) 595-8889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 7, 2025 through Oct 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN10000619 | MA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nhoms, PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Nhoms, PLLC | Single Specialty | Past | Accepting new patients |
Locations
555 Turnpike St
Ste 41A
North Andover, MA 01845
Phone (789) 926-3421
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1295276954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 APPLETREE LN",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104101",
"telephone_number": "978-494-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 TURNPIKE ST STE 41A",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455935",
"telephone_number": "789-926-3421"
}
],
"practiceLocations": [
{
"address_1": "33 Trafalgar Sq",
"address_purpose": "LOCATION",
"city": "Nashua",
"state": "NH",
"postal_code": "030634900",
"country_code": "US",
"telephone_number": "603-595-8889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRYKENBERG",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-14",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MA",
"license": "DN10000619",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.