Angela S Frederick, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

8003 Issued in KY

Practice address

309 E Main St
Morehead, KY 40351-1659

Phone

(606) 784-6436

Fax

(606) 784-1665

NPI assigned

Oct 13, 2006

Last updated

Jul 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angela Smith Frederick Professional name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angela S Frederick, DMD

  • Dentist
  • Morehead, KY
  • NPI 1932570199
  NPD (past) Authorized official
• The Morehead Dental Group, PSC

  • General Practice Dentistry
  • Morehead, KY
  • NPI 1245320241
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1588754576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511659",
            "telephone_number": "606-784-6436",
            "fax_number": "606-784-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511659",
            "telephone_number": "606-784-6436",
            "fax_number": "606-784-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "ANGELA",
        "middle_name": "S",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002953",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "FREDERICK",
            "middle_name": "SMITH",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Hart Foley
• Ralph Thomas Fossett, M.D.
• Katie Fowler, L.P.C.C.
• Kathie Fraley
• Brooke Franz-Smith, DO
• Leandra Frederick, APRN
• Fresh Start Health PSC (Fresh Start Health Centers)
• William Dane Fritts, OD
• Susan Beth Frommeyer, MD
• Hazel Hansen Fugate, RRT

• Dentist in Morehead, KY
• Providers in Morehead, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.