Robert Lewis Friess, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5174 Issued in OR

Practice address

3295 Triangle Dr SE
Ste 242
Salem, OR 97302-4579

Phone

(503) 585-0101

Fax

(503) 585-6365

NPI assigned

Feb 6, 2007

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

Medicare fee-for-service enrollment

Enrolled in OR

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 and National Provider Directory roles.

• Robert L Friess DMD PC

  • Customized Equipment (DME)
  • Salem, OR
  • NPI 1245609049
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649310285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 TRIANGLE DR SE",
            "address_2": "STE 242",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024579",
            "telephone_number": "503-585-0101",
            "fax_number": "503-585-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 TRIANGLE DR SE",
            "address_2": "STE 242",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024579",
            "telephone_number": "503-585-0101",
            "fax_number": "503-585-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESS",
        "first_name": "ROBERT",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D5174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Thomas Fretz, DDS
• Rebecca Ismart Frey, M.S., LMFT, QMHP
• Melinda Frias, CRM, PSS
• Larry A Fricano, CADC II
• Irmgard Friedburg, PH.D.
• Christopher Scot Frink, M.S. F-AAA
• Karla S Fritts, CHW
• Travis E Fromwiller, MD
• Susan Fronczkiewicz
• Andrew Mitchell Fry, LCSW

• General Practice Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.