Individual provider Active NPI

Matthew Frykenberg

  • Oral and Maxillofacial Surgery (Dentist)
  • North Andover, MA
National Provider Identifier
1295276954
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN10000619 Issued in MA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
DN10000619MAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Nhoms, PLLC Oral and Maxillofacial Surgery CurrentSince Jul 22, 2025 Accepting new patients
Nhoms, PLLC Single Specialty PastSince Jul 22, 2025 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

Verify at the official NPI Registry.