Active NPI
Edward Francis Frederick Jr., DMD
- Dentist
- Duxbury, MA
National Provider Identifier
1710937503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14316
- Practice address
- 20 Tremont St
Suite 34
Duxbury, MA 02332-5310 - Phone
- (781) 934-0022
- Fax
- (781) 934-0080
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 14316 | MA | Primary |
Addresses
Primary practice location
20 Tremont St
Suite 34
Duxbury, MA 02332-5310
Mailing address
20 Tremont St
Suite 34
Duxbury, MA 02332-5310
Phone (781) 934-0022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14316 | MA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS IHS Phoenix Area | Current | Accepting new patients |
Locations
515 Shoshone Cir
Elko, NV 89801
Phone (775) 738-2252
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": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710937503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 TREMONT ST",
"address_2": "SUITE 34",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023325310",
"telephone_number": "781-934-0022",
"fax_number": "781-934-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 TREMONT ST",
"address_2": "SUITE 34",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023325310",
"telephone_number": "781-934-0022",
"fax_number": "781-934-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "EDWARD",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "14316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.