Active NPI
Andrea R. Frank, DDS
- Dentist
- Fort Morgan, CO
National Provider Identifier
1639244304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00009283
- Practice address
- 729 E Railroad Ave
Fort Morgan, CO 80701-3340 - Phone
- (970) 867-0300
- Fax
- (970) 867-7607
- NPI assigned
- Nov 21, 2006
- Last updated
- Nov 8, 2013
- Sex
- Female
- 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 | DEN.00009283 | CO | Primary |
Addresses
Primary practice location
729 E Railroad Ave
Fort Morgan, CO 80701-3340
Mailing address
203 South Rollie Ave
Fort Lupton, CO 80621-1508
Phone (303) 286-4560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22606076 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160607001599 | CO | Order and Referring Only - Other (Physician) | 1951691732 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1639244304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 SOUTH ROLLIE AVE",
"city": "FORT LUPTON",
"state": "CO",
"postal_code": "806211508",
"telephone_number": "303-286-4560",
"fax_number": "303-286-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 E RAILROAD AVE",
"city": "FORT MORGAN",
"state": "CO",
"postal_code": "807013340",
"telephone_number": "970-867-0300",
"fax_number": "970-867-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANK",
"first_name": "ANDREA",
"middle_name": "R.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00009283",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22606076",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Morgan, CO
- Fort Morgan Eye Care LLC
- Fort Morgan Family Dental
- Fort Morgan Medical Group, PC
- Fort Morgan Orthodontic Center
- Fort Morgan Pediatric Clinic
- Angela Marie Frenier, DPT
- Jennifer Thomas Fritzler, LCSW
- Front Range Dermatology Associates
- Ft Morgan Orthodontics PLLC
- Generations Health Care LLC (Generations Health Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.