Michael Freedus, DDS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

028889 Issued in NY

Practice address

53 Chestnut Street
Oneonta, NY 13820

Phone

(607) 432-3564

NPI assigned

Oct 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael S. Freedus, DDS, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Oneonta, NY
  • NPI 1124379920
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396831871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 LAKE ROAD",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "12053",
            "telephone_number": "518-864-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 CHESTNUT STREET",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "13820",
            "telephone_number": "607-432-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDUS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NY",
            "license": "028889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00534354",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Elise Francke-Bray, LMC
• Celestia Belle Frank
• Bernard George Franklin, RPH
• Mesharee Franklin
• William J Fredette, M.D.
• Benjamin Friedell, MD
• Friends of Recovery of Delaware and Otsego Counties, Inc.
• Amanda Paige Fulcher, OD
• Jennifer Fuller, NP
• Jessica A Galley, LPN

• Oral and Maxillofacial Pathology Dentistry in Oneonta, NY
• Providers in Oneonta, NY by specialty
• Oral and Maxillofacial Pathology Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.