John F. Fritz, Jr., D.M.D., R.PH, P.S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6785 Issued in KY

Legal business name

JOHN F. FRITZ, JR., D.M.D., R.PH, P.S.C.

Practice address

9014 Lyndon Lakes PL
Louisville, KY 40242-4541

Phone

(502) 376-4557

NPI assigned

Sep 14, 2012

Last updated

Sep 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John F. Fritz Jr., D.M.D., R.PH.

Title

President/C.E.O.

Phone

(502) 376-4557

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1417207606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9014 LYNDON LAKES PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402424541",
            "telephone_number": "502-376-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9014 LYNDON LAKES PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402424541",
            "telephone_number": "502-376-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. FRITZ, JR., D.M.D., R.PH, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT/C.E.O.",
        "authorized_official_telephone_number": "502-376-4557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D., R.PH."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "6785",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6785",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "009474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.