Active NPI
Cheryl Elise Stanback Fryer, DDS, MS
- Dentist
- Washington, DC
National Provider Identifier
1710127758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN4090
- Practice address
- 600 W St NW
Washington, DC 20059-0001 - Phone
- (202) 806-0389
- NPI assigned
- Mar 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN4090 | DC | Primary |
| Dentist | 122300000X | 8141 | MD |
Addresses
Primary practice location
600 W St NW
Washington, DC 20059-0001
Mailing address
12727 Eldrid PL
Silver Spring, MD 20904-3515
Phone (310) 622-1886
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN4090 | DC | MD | Dentist |
| 8141 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1710127758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12727 ELDRID PL",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209043515",
"telephone_number": "310-622-1886",
"fax_number": "310-622-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200590001",
"telephone_number": "202-806-0389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYER",
"first_name": "CHERYL",
"middle_name": "ELISE STANBACK",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-04",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEN4090",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "8141",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.