Individual provider Active NPI

Annikka Frostad-Thomas Freelove, DDS

  • Pediatric Dentistry
  • Sammamish, WA
National Provider Identifier
1669994042
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
61037699 Issued in WA
Practice address
3014 Issaquah Pine Lake Rd SE Ste a
Sammamish, WA 98075-7253
Phone
(425) 651-2626
NPI assigned
Jul 7, 2017
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DDS103469 CA
Pediatric Dentistry 1223P0221X 61037699 WA Primary

Addresses

Primary practice location

3014 Issaquah Pine Lake Rd SE Ste a
Sammamish, WA 98075-7253

Mailing address

3014 Issaquah Pine Lake Rd SE Ste a
Sammamish, WA 98075-7253
Phone (425) 651-2626

Other practice location 1

16330 SE 256th St
Covington, WA 98042-4233
Phone (253) 246-7403

Other names 1

  • Dr. Annikka Louise Frostad-Thomas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240824000009 WA Order and Referring Only - DentistPractitioner - Dentist 8325587124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS103469CAMDPediatric Dentist
61037699WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Annikka Frostad-Thomas DDS PLLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

3014 Issaquah Pine Lake Rd SE
Ste A
Sammamish, WA 98075
Phone (425) 281-1823

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1669994042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 ISSAQUAH PINE LAKE RD SE STE A",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757253",
            "telephone_number": "425-651-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 ISSAQUAH PINE LAKE RD SE STE A",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757253",
            "telephone_number": "425-651-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16330 SE 256th St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "WA",
            "postal_code": "980424233",
            "country_code": "US",
            "telephone_number": "253-246-7403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREELOVE",
        "first_name": "ANNIKKA",
        "middle_name": "FROSTAD-THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS103469",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "61037699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIKKA",
            "last_name": "FROSTAD-THOMAS",
            "middle_name": "LOUISE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sammamish, WA

Sources for this page

Verify at the official NPI Registry.