Active NPI
Steven Reid Frimtzis, D.M.D.
- Dentist
- Indian Wells, CA
National Provider Identifier
1407990617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37106
- Practice address
- 45110 Club Dr
Suite C
Indian Wells, CA 92210-8873 - Phone
- (760) 345-6633
- Fax
- (760) 345-5083
- NPI assigned
- Feb 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 37106 | CA | Primary |
Addresses
Primary practice location
45110 Club Dr
Suite C
Indian Wells, CA 92210-8873
Mailing address
45110 Club Dr
Suite C
Indian Wells, CA 92210-8873
Phone (760) 345-6633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160729001849 | CA | Order and Referring Only - Dentist | 5193018075 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37106 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407990617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45110 CLUB DR",
"address_2": "SUITE C",
"city": "INDIAN WELLS",
"state": "CA",
"postal_code": "922108873",
"telephone_number": "760-345-6633",
"fax_number": "760-345-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45110 CLUB DR",
"address_2": "SUITE C",
"city": "INDIAN WELLS",
"state": "CA",
"postal_code": "922108873",
"telephone_number": "760-345-6633",
"fax_number": "760-345-5083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIMTZIS",
"first_name": "STEVEN",
"middle_name": "REID",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "37106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Wells, CA
- Leslie P Esparza Diaz
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- Executive Urgent Care of Indian Wells
- Family Eye Care of Indian Wells
- John Francis Feller, MD
- Garfield Beach CVS LLC (CVS Pharmacy 09779)
- Gary R. Smith DC a Professional Chiropractic Corporation
- Jullissa Marie Garza
- Kara Geno, APN
- Nelson T Goff, D.C., CCSP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.