Individual provider Active NPI

Carmine J Frele, D.M.D.

  • Dentist
  • Danbury, CT
National Provider Identifier
1437372745
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
05922 Issued in CT
Practice address
289 White St
Danbury, CT 06810-6934
Phone
(203) 743-4670
Fax
(203) 743-1756
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 05922 CT Primary

Addresses

Primary practice location

289 White St
Danbury, CT 06810-6934

Mailing address

36 Great Meadow Rd
Redding, CT 06896-2111
Phone (203) 938-8075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150710001536 CT Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5799097291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05922CTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437372745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 GREAT MEADOW RD",
            "city": "REDDING",
            "state": "CT",
            "postal_code": "068962111",
            "telephone_number": "203-938-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 WHITE ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106934",
            "telephone_number": "203-743-4670",
            "fax_number": "203-743-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRELE",
        "first_name": "CARMINE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "05922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.