Craig Donald Frerichs, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11390 Issued in MN

Practice address

3000 N Chestnut St
#20
Chaska, MN 55318-3054

Phone

(952) 361-0777

Fax

(952) 361-6729

NPI assigned

Dec 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598824385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5536 CHANTREY RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362029",
            "telephone_number": "952-285-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N CHESTNUT ST",
            "address_2": "#20",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553183054",
            "telephone_number": "952-361-0777",
            "fax_number": "952-361-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRERICHS",
        "first_name": "CRAIG",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Fowler, OTR
• Roderick Wayne Franks, M.A.
• Amy Jean Freed, O.D.
• Christopher J Freed, O.D.
• Ellen Kathryn Freeman, PA
• Troy Anthony Fry, MS, BCBA
• Purvi Gada, MBBS
• Lisa J Gammon, MA; LPCC
• Lisa J Ganske
• Rosa Marcela Garcia Soto, LICSW

• General Practice Dentistry in Chaska, MN
• Providers in Chaska, 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 Jul 8, 2007; 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.