David Frausto Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D5639 Issued in AZ

Practice address

7136 Pav Way
Prescott Valley, AZ 86314-2264

Phone

(928) 775-9495

Fax

(928) 775-9497

NPI assigned

Jan 22, 2007

Last updated

Mar 4, 2008By 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

Other names 1

• Dr. David Frausto Other name

Medicare fee-for-service enrollment

Enrolled in AZ

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

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.

• Bradshaw Mountain Family Dental

  dba bradshaw family dental

  • Preferred Provider Organization
  • Prescott Valley, AZ
  • NPI 1861855884
  NPD (past) Authorized official
• Bradshaw Mountain Family Dental Group PC

  • Dental Clinic/Center
  • Prescott Valley, AZ
  • NPI 1972773141
  NPD (past) Authorized official
• Seasons Sage

  dba Bradshaw Family Dental

  • Dental Clinic/Center
  • Chino Valley, AZ
  • NPI 1972085660
  NPD (past) Authorized official
• CL DDS PLLC

  • Dental Clinic/Center
  • Chino Valley, AZ
  • NPI 1861198921
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1619021425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 PAV WAY",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142264",
            "telephone_number": "928-775-9495",
            "fax_number": "928-775-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 PAV WAY",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142264",
            "telephone_number": "928-775-9495",
            "fax_number": "928-775-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAUSTO",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "FRAUSTO",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeanine L Foreman, LPC
• Founders Healthcare, LLC (Preferred Homecare)
• Brenda Cherie Fox, LPC
• Rachel Frainey, LCSW
• Franklin Phonetic Primary School
• Bradley Dallas Freestone, O.D.
• Rhonda Freymuth, PHARM D
• Lindy Michelle Friedrich
• Kathryn R From, PHARMD
• Frost Family Chiropractic, PC

• Dentist in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.