Active NPI
Loreen Kay Frey, DDS
- Dentist
- Van Wert, OH
National Provider Identifier
1437261609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019253
- Practice address
- 1142 Westwood Dr
Van Wert, OH 45891 - Phone
- (419) 238-9368
- Fax
- (419) 238-9193
- NPI assigned
- Aug 31, 2006
- Last updated
- Jan 9, 2014
- 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 | 019253 | OH | Primary |
Addresses
Primary practice location
1142 Westwood Dr
Van Wert, OH 45891
Mailing address
1142 Westwood Dr
Van Wert, OH 45891
Phone (419) 238-9368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0824559 | Medicaid | OH |
Other names 1
- Loreen Kay Demoss
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019253 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Dental Group of Van Wert | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Westwood Family Dental
- General Practice Dentistry
- Van Wert, OH
- NPI 1104186550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1437261609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 WESTWOOD DR",
"city": "VAN WERT",
"state": "OH",
"postal_code": "45891",
"telephone_number": "419-238-9368",
"fax_number": "419-238-9193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 WESTWOOD DR",
"city": "VAN WERT",
"state": "OH",
"postal_code": "45891",
"telephone_number": "419-238-9368",
"fax_number": "419-238-9193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "LOREEN",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "019253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0824559",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LOREEN",
"last_name": "DEMOSS",
"middle_name": "KAY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Van Wert, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.