Individual provider Active NPI

Julia Baty Frigo, D.M.D.

  • Dentist
  • Tallahassee, FL
National Provider Identifier
1417300666
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22030 Issued in FL
Practice address
1771 Capital Cir NE
Tallahassee, FL 32308
Phone
(850) 765-3748
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22030 FL Primary

Addresses

Primary practice location

1771 Capital Cir NE
Tallahassee, FL 32308

Mailing address

1771 Capital Cir NE
Tallahassee, FL 32308-5517
Phone (850) 765-3748

Other practice location 1

101 S Moore Ave
Claremore, OK 74017-5047
Phone (918) 402-9897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160914002518 TX Order and Referring Only - DentistPractitioner - Dentist 3274829452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22030FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smileworks , PLLC CurrentSince Mar 6, 2022 Accepting new patients

Locations

1771 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 765-3748

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1417300666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085517",
            "telephone_number": "850-765-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-765-3748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Moore Ave",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740175047",
            "country_code": "US",
            "telephone_number": "918-402-9897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIGO",
        "first_name": "JULIA",
        "middle_name": "BATY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "22030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.