Frank R Freistak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS019467L Issued in PA

Practice address

1300 Douglas Circle
Naval Branch Health Clinic
Key West, FL 33040

Phone

(305) 293-4613

NPI assigned

Jun 20, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1386805547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 LEWISBERRY RD",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170702313",
            "telephone_number": "717-774-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 DOUGLAS CIRCLE",
            "address_2": "NAVAL BRANCH HEALTH CLINIC",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "33040",
            "telephone_number": "305-293-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREISTAK",
        "first_name": "FRANK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS019467L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Fortenberry
• Robert Fowler
• Sarah-Catherine Tillman Fowler
• Shekinah Foy, AA
• Frank True Lansden, Jr., M.D., P.a.,
• FSS Keys LLC
• Carla Fuquay, IMHC
• Sarah Gaccione, MS SLP
• Zivko Z Gajic, MD
• April L Gallagher, AGACNP

• General Practice Dentistry in Key West, FL
• Providers in Key West, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.