Individual provider Active NPI

Brendan Wade Frazier

  • Dentist
  • Hot Springs, AR
National Provider Identifier
1689407116
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4741 Issued in AR
Practice address
307 Carpenter Dam Rd Ste M
Hot Springs, AR 71901-8282
Phone
(501) 624-3323
Fax
(501) 262-9790
NPI assigned
Aug 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4741 AR Primary

Addresses

Primary practice location

307 Carpenter Dam Rd Ste M
Hot Springs, AR 71901-8282

Mailing address

307 Carpenter Dam Rd Ste M
Hot Springs, AR 71901-8282
Phone (501) 624-3323

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4741ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hot Springs National Park Dental Group PastSince Aug 25, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1689407116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CARPENTER DAM RD STE M",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018282",
            "telephone_number": "501-624-3323",
            "fax_number": "501-262-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CARPENTER DAM RD STE M",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018282",
            "telephone_number": "501-624-3323",
            "fax_number": "501-262-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "BRENDAN",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.