Active NPI
Rita Wilhelmina Frazier, D.D.S.
- Dentist
- Norfolk, VA
National Provider Identifier
1417979238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401006012
- Practice address
- 136 E Little Creek Rd
Norfolk, VA 23505-2503 - Phone
- (757) 587-6399
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 0401006012 | VA | Primary |
Addresses
Primary practice location
136 E Little Creek Rd
Norfolk, VA 23505-2503
Mailing address
136 E Little Creek Rd
Norfolk, VA 23505-2503
Phone (757) 587-6399
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective May 19, 2016 through May 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401006012 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417979238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 E LITTLE CREEK RD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235052503",
"telephone_number": "757-587-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 E LITTLE CREEK RD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235052503",
"telephone_number": "757-587-6399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "RITA",
"middle_name": "WILHELMINA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401006012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.