David Leon Fried, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7541 Issued in CT

Practice address

329 Main St
Yalesville, CT 06492

Phone

(203) 265-7118

Fax

(203) 294-0620

NPI assigned

Oct 24, 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

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1457435984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MAIN ST",
            "city": "YALESVILLE",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-265-7118",
            "fax_number": "203-294-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MAIN ST",
            "city": "YALESVILLE",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-265-7118",
            "fax_number": "203-294-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "DAVID",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Colwell, LCSW
• Leanne Marie Coppola, LCSW
• Kathryn S Cygler, LCSW
• Min Deng, D.M.D.
• Michelle Esposito, M.ED., LPC
• Paul T Gambardella, DPM
• David G Glazer, D.M.D.
• Jordan Goetz, MD
• Sandra Gonsalves, LCSW
• Hamden Eye Associates, P.C

• General Practice Dentistry in Yalesville, CT
• Providers in Yalesville, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.