Active NPI
Perry H Fraiman, DDS
- Prosthodontics
- Surprise, AZ
National Provider Identifier
1649493669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 6744
- Practice address
- 18715 N Reems Rd
#100
Surprise, AZ 85374-8643 - Phone
- (623) 975-3115
- Fax
- (623) 975-3699
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 6744 | AZ | Primary |
Addresses
Primary practice location
18715 N Reems Rd
#100
Surprise, AZ 85374-8643
Mailing address
18715 N Reems Rd
#100
Surprise, AZ 85374-8643
Phone (623) 975-3115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6744 | AZ | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1649493669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18715 N REEMS RD",
"address_2": "#100",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748643",
"telephone_number": "623-975-3115",
"fax_number": "623-975-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18715 N REEMS RD",
"address_2": "#100",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748643",
"telephone_number": "623-975-3115",
"fax_number": "623-975-3699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAIMAN",
"first_name": "PERRY",
"middle_name": "H",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "AZ",
"license": "6744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.