Active NPI
Chad Evan Fruithandler, DDS
- Dentist
- Denver, CO
National Provider Identifier
1609306349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00203185
- Practice address
- 1245 E Colfax Ave Ste 301
Denver, CO 80218-2216 - Phone
- (303) 832-8655
- NPI assigned
- Jun 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 00203185 | CO | Primary |
Addresses
Primary practice location
1245 E Colfax Ave Ste 301
Denver, CO 80218-2216
Mailing address
1250 Cherokee St Apt 520
Denver, CO 80204-3701
Phone (915) 731-6950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00203185 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497484800000",
"number": "1609306349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 CHEROKEE ST APT 520",
"city": "DENVER",
"state": "CO",
"postal_code": "802043701",
"telephone_number": "915-731-6950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 E COLFAX AVE STE 301",
"city": "DENVER",
"state": "CO",
"postal_code": "802182216",
"telephone_number": "303-832-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUITHANDLER",
"first_name": "CHAD",
"middle_name": "EVAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-15",
"last_updated": "2017-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00203185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.