NPIMap

Organization Active NPI

Lisa K. Frost DDS, LLC

  • General Practice Dentistry
  • Waverly, OH
National Provider Identifier
1528047461
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21364 Issued in OH
Legal business name
LISA K. FROST DDS, LLC
Practice address
100 E 3Rd St
Waverly, OH 45690-1401
Phone
(740) 947-8200
Fax
(740) 947-8210
NPI assigned
Jan 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lisa K Frost, DDS
Title
Owner Dentist
Phone
(740) 947-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21364 OH Primary

Addresses

Primary practice location

100 E 3Rd St
Waverly, OH 45690-1401

Mailing address

100 E 3Rd St
Waverly, OH 45690-1401
Phone (740) 947-8200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528047461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 3RD ST",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901401",
            "telephone_number": "740-947-8200",
            "fax_number": "740-947-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 3RD ST",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901401",
            "telephone_number": "740-947-8200",
            "fax_number": "740-947-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA K. FROST DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "740-947-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.