Individual provider Active NPI

Russell N Frys Jr., DDS

  • General Practice Dentistry
  • Edina, MN
National Provider Identifier
1356328694
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8040 Issued in MN
Practice address
7550 France Ave S
Suite 138
Edina, MN 55435-5624
Phone
(952) 831-1332
Fax
(952) 831-0553
NPI assigned
Dec 28, 2005
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 D8040 MN Primary

Addresses

Primary practice location

7550 France Ave S
Suite 138
Edina, MN 55435-5624

Mailing address

7550 France Ave S
Suite 138
Edina, MN 55435-5624
Phone (952) 831-1332

Other identifiers 1

IdentifierTypeStateIssuer
4040091OtherMNMEDICA MEDICAL PROVIDER N

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356328694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 FRANCE AVE S",
            "address_2": "SUITE 138",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355624",
            "telephone_number": "952-831-1332",
            "fax_number": "952-831-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 FRANCE AVE S",
            "address_2": "SUITE 138",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355624",
            "telephone_number": "952-831-1332",
            "fax_number": "952-831-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYS",
        "first_name": "RUSSELL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D8040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA MEDICAL PROVIDER N",
            "identifier": "4040091",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.