Organization Active NPI

Freeman Family Dentistry

  • General Practice Dentistry
  • Fairfield, CA
National Provider Identifier
1770604647
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28314 Issued in CA
Legal business name
FREEMAN FAMILY DENTISTRY
Practice address
2201 Boynton Ave
Fairfield, CA 94533-4319
Phone
(707) 422-2236
Fax
(707) 427-5507
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lee S Freeman, D.D..S.
Title
Owner
Phone
(707) 422-2236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 28314 CA Primary

Addresses

Primary practice location

2201 Boynton Ave
Fairfield, CA 94533-4319

Mailing address

2201 Boynton Ave
Fairfield, CA 94533-4319
Phone (707) 422-2236

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770604647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BOYNTON AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334319",
            "telephone_number": "707-422-2236",
            "fax_number": "707-427-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BOYNTON AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334319",
            "telephone_number": "707-422-2236",
            "fax_number": "707-427-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-422-2236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D..S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.