John Frazee, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12010677A Issued in IN

Practice address

124 E US Highway 30
Schererville, IN 46375-2117

Phone

(219) 865-3050

Fax

(219) 865-3431

NPI assigned

Jan 18, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northwest Indiana Center for Dental Implants and Gerneral Dentistry

  • General Practice Dentistry
  • Schererville, IN
  • NPI 1174900179
  NPD (past) Authorized official
• Richard a. Guaccio

  • General Practice Dentistry
  • Schererville, IN
  • NPI 1982724589
  NPD (past)

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

{
    "created_epoch": "1390003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1750703294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2108",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463618108",
            "telephone_number": "219-608-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E US HIGHWAY 30",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752117",
            "telephone_number": "219-865-3050",
            "fax_number": "219-865-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZEE",
        "first_name": "JOHN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-18",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010677A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Fiscella, PT, DPT
• Barbara J Fluder, OD
• Crystal Ann Foote, RPH
• Fovero LLC
• Franciscan Physician Network
• M Susanne Fronczak, B.S. PHARMACY
• G & D Angels, Inc.
• Gustavo Eduardo Galante, M.D.
• Christian Gallegos
• Rebecca Marguerite Garza, M.D.

• Dentist in Schererville, IN
• Providers in Schererville, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.