NPIMap

Organization Active NPI

West Pasco Family Dental LLC

  • General Practice Dentistry
  • Pasco, WA
National Provider Identifier
1447380233
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5567 Issued in WA
Legal business name
WEST PASCO FAMILY DENTAL LLC
Practice address
5204 N Road 68
Suite B
Pasco, WA 99301-9275
Phone
(509) 547-9955
Fax
(509) 544-2827
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Dr. Greg W Frodel, DDSNPI 1972633899
Title
Dentist
Phone
(509) 547-9955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5567 WA Primary

Addresses

Primary practice location

5204 N Road 68
Suite B
Pasco, WA 99301-9275

Mailing address

5204 N Road 68
Suite B
Pasco, WA 99301-9275
Phone (509) 547-9955

Other identifiers 1

IdentifierTypeStateIssuer
5050190MedicaidWA

National Provider Directory

National Provider Directory

Locations

5204 Road 68
#B
Pasco, WA 99301
Phone (509) 547-9955

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1447380233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 N ROAD 68",
            "address_2": "SUITE B",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019275",
            "telephone_number": "509-547-9955",
            "fax_number": "509-544-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 N ROAD 68",
            "address_2": "SUITE B",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019275",
            "telephone_number": "509-547-9955",
            "fax_number": "509-544-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PASCO FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "FRODEL",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-547-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5050190",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.