Individual provider Active NPI

Karla D Frazier, DMD, PA

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1710008545
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19941 Issued in TX
Practice address
7333 E Hwy 290
Austin, TX 78723-1526
Phone
(512) 453-3879
Fax
(512) 452-6795
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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 19941 TX Primary

Addresses

Primary practice location

7333 E Hwy 290
Austin, TX 78723-1526

Mailing address

7333 E Hwy 290
Austin, TX 78723-1526
Phone (512) 453-3879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 31, 2018 through Oct 31, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
19941TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1710008545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 E HWY 290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231526",
            "telephone_number": "512-453-3879",
            "fax_number": "512-452-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 E HWY 290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231526",
            "telephone_number": "512-453-3879",
            "fax_number": "512-452-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "KARLA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD, PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.