Roderick Vincent Frazier, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS005013 Issued in TN

Practice address

309 Northcreek Blvd
Goodlettsville, TN 37072-1995

Phone

(615) 851-1777

Fax

(615) 851-0877

NPI assigned

Aug 10, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Rivergate Dental Group

  • Exclusive Provider Organization
  • Goodlettsville, TN
  • NPI 1861664898
  NPD (past) Authorized official
• Highland Dental PLLC

  • General Practice Dentistry
  • Goodlettsville, TN
  • NPI 1457271827
  NPD (past)
• Rivergate Dental Group, PC

  • General Practice Dentistry
  • Goodlettsville, TN
  • NPI 1902570476
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1619988045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370700589",
            "telephone_number": "615-851-1777",
            "fax_number": "615-851-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NORTHCREEK BLVD",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721995",
            "telephone_number": "615-851-1777",
            "fax_number": "615-851-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "RODERICK",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS005013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3204272",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Files
• First Hand Care, LLC
• Stephen Michael Fisher, MD
• Fluency ABA, LLC
• Joseph Albert Fox, D.D.S.
• Fresenius Medical Care Goodlettsville, LLC
• Jack Michael Friday, M.D.
• FTP Non Profit
• Gabriel, LLC
• Charles Zachary Gammill, DC

• Dentist in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.