Angela M. Froidcoeur, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

019.024933 Issued in IL

Practice address

959 Lincoln Hwy
Fairview Heights, IL 62208-2234

Phone

(618) 624-3838

NPI assigned

Mar 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 19, 2015 through Aug 19, 2027

Medicare enrollment (NPD)

Not 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.

• John Rottschalk, DMD, PC

  • General Practice Dentistry
  • Fairview Heights, IL
  • NPI 1336354539
  NPD (past)
• Rottschalk Dental LLC

  • Dentist
  • Fairview Heights, IL
  • NPI 1487574455
  NPD (past)

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1407198765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 STONEBROOKE",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622943608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 LINCOLN HWY",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082234",
            "telephone_number": "618-624-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROIDCOEUR",
        "first_name": "ANGELA",
        "middle_name": "M.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.024933",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "016041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren J Fournier II, MD
• Jasper Dean Franklin
• Stephen Frazier, LCSW
• Rachel Frazure, LCSW
• French Village Volunteer Fire Fighters, Inc (French Village Fire Department)
• Faith Genevieve Fude, MS, RD, LD
• Kiyah Ann Galvin
• Linda Gamboa, M.S., CCC-SLP
• Jeanette W Georgen, MA, LCPC, ATR
• Matthew Michael Germann, PA-C

• Dentist in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.