Robert Durand Frazier, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

21312 Issued in OH

Practice address

7111 N Main St Ste 30
Dayton, OH 45415-2558

Phone

(927) 277-9387

Fax

(937) 277-9388

NPI assigned

Jun 28, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1598793887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 PHILADELPHIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153062",
            "telephone_number": "937-277-9387",
            "fax_number": "937-277-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 N MAIN ST STE 30",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152558",
            "telephone_number": "927-277-9387",
            "fax_number": "937-277-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "ROBERT",
        "middle_name": "DURAND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "21312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2351959",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaimie Lynn Frazier, PT, DPT
• Johnny Bear Frazier
• Mark Frazier
• Mia Frazier
• Paula Rae Frazier
• Rufus Frazier
• Yaunta Sharay Frazier
• Jill Marie Frechette, RN
• Amber Kaye Frederick
• Rachel Free, RN

• Oral and Maxillofacial Surgery (Dentist) in Dayton, OH
• Providers in Dayton, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.