John H Frick DMD PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4622 P Issued in OR

Legal business name

JOHN H FRICK DMD PC

Practice address

2150 NE Division St
#210
Gresham, OR 97030-5813

Phone

(503) 666-9436

Fax

(503) 492-4387

NPI assigned

Oct 14, 2005

Organization subpart

No

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

Authorized official

Name

Dr. John H Frick DMD, DMD

Title

President

Phone

(503) 666-9436

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548259252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 NE DIVISION ST",
            "address_2": "#210",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305813",
            "telephone_number": "503-666-9436",
            "fax_number": "503-492-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 NE DIVISION ST",
            "address_2": "#210",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305813",
            "telephone_number": "503-666-9436",
            "fax_number": "503-492-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H FRICK DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRICK DMD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-666-9436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "4622 P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Monique Jessie, LPC
• Jill Turner ND PC
• Jiyoung E Lee DMD PC (Gresham Pediatric Dentistry)
• Laura Erin Joachim, MA, LPC
• John C. Anderson, M.D., P.C.
• Michelle L John, M.D.
• Johnson Chiropractic Clinic PC
• Clotilde Amelia Johnson-Beale, M.D., M.P.H.
• Dawn Marie Johnson, PHARM D
• Debra F Johnson, FNP

• Pediatric Dentistry in Gresham, OR
• Providers in Gresham, OR by specialty
• Pediatric Dentistry in Oregon

• 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.