John W Frerich, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10218 Issued in MN

Practice address

1106 E College Dr
Marshall, MN 56258-1902

Phone

(507) 537-1052

Fax

(507) 537-0349

NPI assigned

Dec 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Florala Family Dental Care

  • Dental Clinic/Center
  • Florala, AL
  • NPI 1336635895
  NPD (past) Authorized official
• Marshall Dental Excellence PLLC

  • General Practice Dentistry
  • Marshall, MN
  • NPI 1427137629
  NPD (past)

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1548538416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581902",
            "telephone_number": "507-537-1052",
            "fax_number": "507-537-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581902",
            "telephone_number": "507-537-1052",
            "fax_number": "507-537-0349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24244 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Florala",
            "state": "AL",
            "postal_code": "364423522",
            "country_code": "US",
            "telephone_number": "334-219-5831 x33421",
            "fax_number": "334-647-6475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRERICH",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-07",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "6491",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quentin James Fixen, D.C.
• Erin Marie Flann, P.T.
• Joyce Ella Flock
• Stephanie Rae Forness, PSYD, LP
• Andrew Frerich, D.D.S.
• Theodore L. Fritsche, M.D.
• Jodi Marie Fuerstenberg, ATC
• Amy Jo Full, DDS
• Elizabeth Michelle Fusselman, P.T.
• Glenn Alan Gaunt, M.D.

• General Practice Dentistry in Marshall, MN
• Providers in Marshall, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.