Individual provider Active NPI

Loreen Kay Frey, DDS

  • Dentist
  • Van Wert, OH
National Provider Identifier
1437261609
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019253 Issued in OH
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0824559MedicaidOH

Other names 1

  • Loreen Kay Demoss Other name

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

LicenseStateTypeSpecialty
019253OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.