Active NPI
Paul Mark Frazier, DMD
- Dentist
- Lexington, KY
National Provider Identifier
1295709806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5642
- Practice address
- 870 Corporate Dr
Suite 103
Lexington, KY 40503-5416 - Phone
- (859) 223-8636
- Fax
- (859) 223-0448
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5642 | KY | Primary |
Addresses
Primary practice location
870 Corporate Dr
Suite 103
Lexington, KY 40503-5416
Mailing address
870 Corporate Dr
Suite 103
Lexington, KY 40503-5416
Phone (859) 223-8636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1295709806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 CORPORATE DR",
"address_2": "SUITE 103",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405035416",
"telephone_number": "859-223-8636",
"fax_number": "859-223-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 CORPORATE DR",
"address_2": "SUITE 103",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405035416",
"telephone_number": "859-223-8636",
"fax_number": "859-223-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "PAUL",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "5642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.