Individual provider Active NPI

Frederick D Dreher, DDS

  • General Practice Dentistry
  • Ballston Spa, NY
National Provider Identifier
1659402279
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043232 Issued in NY
Practice address
410 Rowland St
Ballston Spa, NY 12020-2684
Phone
(518) 885-6185
NPI assigned
Mar 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 043232 NY Primary

Addresses

Primary practice location

410 Rowland St
Ballston Spa, NY 12020-2684

Mailing address

410 Rowland St
Ballston Spa, NY 12020-2684
Phone (518) 885-6185

Other names 1

  • Frederick Dreher, D.D.S., P.C. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20180126001322 NY Order and Referring Only - DentistPractitioner - Dentist 3072872183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Frederick D Dreher DDS PC CurrentSince Mar 2, 2002 Accepting new patients

Locations

410 Rowland St
Ballston Spa, NY 12020
Phone (518) 290-7599

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659402279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ROWLAND ST",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202684",
            "telephone_number": "518-885-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ROWLAND ST",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202684",
            "telephone_number": "518-885-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREHER",
        "first_name": "FREDERICK",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDERICK",
            "last_name": "DREHER, D.D.S., P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ballston Spa, NY

Sources for this page

Verify at the official NPI Registry.