Individual provider Active NPI

Frank Avason III, DMD MS PA

  • General Practice Dentistry
  • Denver, NC
National Provider Identifier
1609848910
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7101 Issued in NC
Practice address
7476 Waterside Loop Rd
Suite 100
Denver, NC 28037-7593
Phone
(704) 820-9797
Fax
(704) 820-9729
NPI assigned
Feb 2, 2006
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7101 NC Primary

Addresses

Primary practice location

7476 Waterside Loop Rd
Suite 100
Denver, NC 28037-7593

Mailing address

7476 Waterside Loop Rd
Suite 100
Denver, NC 28037-7593
Phone (704) 820-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20170419002713 NC Practitioner - Oral Surgery 5991942666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science, Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1609848910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7476 WATERSIDE LOOP RD",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377593",
            "telephone_number": "704-820-9797",
            "fax_number": "704-820-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7476 WATERSIDE LOOP RD",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377593",
            "telephone_number": "704-820-9797",
            "fax_number": "704-820-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVASON",
        "first_name": "FRANK",
        "name_suffix": "III",
        "credential": "DMD MS PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.