Jay Richard Froug, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0010494 Issued in FL

Practice address

4868 Cortez Rd W
Bradenton, FL 34210-2803

Phone

(941) 795-0877

Fax

(941) 792-2373

NPI assigned

Jul 6, 2009

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

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.

• Jay R. Froug, D.M.D., P.a. D/B/a Pinebrook Dental Center

  • General Practice Dentistry
  • Bradenton, FL
  • NPI 1811107485
  NPD (past) Authorized official

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1639308174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4868 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102803",
            "telephone_number": "941-795-0877",
            "fax_number": "941-792-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4868 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102803",
            "telephone_number": "941-795-0877",
            "fax_number": "941-792-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROUG",
        "first_name": "JAY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0010494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eija Friedlander, OT
• Daniel Edward Friedman, M.D.
• Debra A Friedrich, A.R.N.P
• Sheila A Fritz-Swift, M.S., BCBA
• Cayla Fritz, MD
• Bernadette Anita Frye, APRN
• Rachelle Fuchs
• Yelenis Fuertes Yanes
• Debora Fuertes-Pacheco
• Marisa Rene Fullgrapp, PA-C

• General Practice Dentistry in Bradenton, FL
• Providers in Bradenton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.