Andrew Theeman Fried, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

13443 Issued in MD

Practice address

9712 Belair Rd Ste 304
Baltimore, MD 21236-1113

Phone

(410) 256-6760

Fax

(410) 256-4484

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Andrew Fried, DMD LLC

  • Dental Clinic/Center
  • Baltimore, MD
  • NPI 1992180012
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1457413734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 MARBROOK RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172342",
            "telephone_number": "410-581-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 BELAIR RD STE 304",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212361113",
            "telephone_number": "410-256-6760",
            "fax_number": "410-256-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "ANDREW",
        "middle_name": "THEEMAN",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "13443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew@purestuff.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9712 Belair Rd Ste 304",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212361113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexis Frezza, DO
• Anna Katharina Fricker, M.D.
• Diana Nicole Fridberg, DDS
• Tyrell O Fridie, DMD
• Alexis Fried
• Irwin Fried, PHD
• Ivan S. Fried, D.D.S.
• Julie Deborah Fried, LCPC
• Linda P Fried, M.D.
• Miriam Friedberg

• Periodontics in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.