Active NPI
Jacob S Froerer, DDS, MSD
- Dentist
- Danville, IL
National Provider Identifier
1356511794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6740796-9922
- Practice address
- 1900 E Main St
Danville, IL 61832-5100 - Phone
- (217) 554-3110
- NPI assigned
- Feb 29, 2008
- Last updated
- Sep 17, 2020
- 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 | 6740796-9922 | UT | Primary |
Addresses
Primary practice location
1900 E Main St
Danville, IL 61832-5100
Mailing address
1900 E Main St
Danville, IL 61832-5100
Phone (217) 554-3110
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6740796-9922 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympus View Dental | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Salt Lake City, UT
- NPI 1598845950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1356511794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 E MAIN ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618325100",
"telephone_number": "217-554-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E MAIN ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618325100",
"telephone_number": "217-554-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROERER",
"first_name": "JACOB",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-29",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "6740796-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, IL
- Rene Ann Frasher, DHSC, PA-C
- Reylla Cristina Freire DO Vale Santos, PHD, LCPC
- Gerald Dewayne French
- Courtney Natalie Rae Frick, DPT
- Michelle Anne Friedlund, BS
- Mia Anica Khey Fuentebella, PT
- Mike L Fuesting, D.M.D.
- Full Access Care LLC (Full Access Care)
- Full Access Healthcare LLC (Full Access Healthcare)
- Mukund Gai, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.