Mark S. Frey, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36214 Issued in CA

Practice address

990 Sonoma Ave., Suite 6
Santa Rosa, CA 95404-4813

Phone

(707) 545-4125

Fax

(707) 545-4195

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477611812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE., SUITE 6",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044813",
            "telephone_number": "707-545-4125",
            "fax_number": "707-545-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE., SUITE 6",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044813",
            "telephone_number": "707-545-4125",
            "fax_number": "707-545-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "MARK",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Cory French, RADT
• Emily French
• Wendy Darlene French, FNP
• Guille Freschl, MD
• John Frey Jr., PHARM D
• Samantha Frias
• Elisabeth Friedeman, PT, DPT
• Roger Philip Friedenthal, M.D.
• Rachel Friedman, M.D.
• Friends Assoc of Services for the Elderly

• General Practice Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.