Individual provider Active NPI

Jennifer Frangos, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
National Provider Identifier
1316173537
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN1856643 Issued in MA
Practice address
13 W 13TH St Apt 5BS
Oral & Maxillofacial Surgery
New York, NY 10011-8122
Phone
(917) 647-3201
NPI assigned
Jun 2, 2009
Last updated
Jan 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN1856643 MA Primary

Addresses

Primary practice location

13 W 13TH St Apt 5BS
Oral & Maxillofacial Surgery
New York, NY 10011-8122

Mailing address

830 Oak St
Suite 101W
Brockton, MA 02301-1168
Phone (508) 586-5445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 3, 2026 through Apr 3, 2028

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
New York University College of Dentistry, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

113 Water St
Suite 104
Milford, MA 01757-3021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856643MAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Maxillofacial Surgery, Inc. Oral and Maxillofacial Surgery CurrentSince Sep 15, 2014 Accepting new patients

Locations

830 Oak St
Ste 101W
Brockton, MA 02301
Phone (508) 586-5445

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, 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": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1316173537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 OAK ST",
            "address_2": "SUITE 101W",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011168",
            "telephone_number": "508-586-5445",
            "fax_number": "508-586-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 W 13TH ST APT 5BS",
            "address_2": "ORAL & MAXILLOFACIAL SURGERY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118122",
            "telephone_number": "917-647-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANGOS",
        "first_name": "JENNIFER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1856643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.