Active NPI
Robert Don Frey, DDS
- General Practice Dentistry
- Swanton, OH
National Provider Identifier
1699777631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30 01 7929
- Practice address
- 104 Miller Ave
Swanton, OH 43558-1245 - Phone
- (419) 826-2881
- Fax
- (419) 826-0333
- NPI assigned
- Aug 10, 2005
- Last updated
- May 9, 2016
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30 01 7929 | OH | Primary |
Addresses
Primary practice location
104 Miller Ave
Swanton, OH 43558-1245
Mailing address
104 Miller Ave
Swanton, OH 43558-1245
Phone (419) 826-2881
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 |
|---|---|---|---|
| 30 01 7929 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1699777631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 MILLER AVE",
"city": "SWANTON",
"state": "OH",
"postal_code": "435581245",
"telephone_number": "419-826-2881",
"fax_number": "419-826-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MILLER AVE",
"city": "SWANTON",
"state": "OH",
"postal_code": "435581245",
"telephone_number": "419-826-2881",
"fax_number": "419-826-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "ROBERT",
"middle_name": "DON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30 01 7929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swanton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.