Individual provider Active NPI

Jean Louise Frank, D.M.D.

  • Dental Anesthesiology
  • Dublin, OH
National Provider Identifier
1396997367
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
30.020880 Issued in OH
Practice address
5152 Blazer Pkwy Ste 202
Dublin, OH 43017-7316
Phone
(630) 816-3900
Fax
(614) 618-0118
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X 30.020880 OH Primary

Addresses

Primary practice location

5152 Blazer Pkwy Ste 202
Dublin, OH 43017-7316

Mailing address

5152 Blazer Pkwy Ste 202
Dublin, OH 43017-7316
Phone (630) 816-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140114001769 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3375771538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.020880OHMDDentist Anesthesiologist

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1396997367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 BLAZER PKWY STE 202",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177316",
            "telephone_number": "630-816-3900",
            "fax_number": "614-618-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 BLAZER PKWY STE 202",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177316",
            "telephone_number": "630-816-3900",
            "fax_number": "614-618-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "JEAN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "OH",
            "license": "30.020880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.