Jeremy R Fry, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

60358 Issued in KS

Practice address

11940 Quivira Rd
Overland Park, KS 66213-2222

Phone

(913) 469-9723

Fax

(913) 469-6491

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

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.

• Jeremy R. Fry, D.D.S., M.S., LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Overland Park, KS
  • NPI 1841569126
  NPD (past) Authorized official
• Dr. Robert W. Fry, D.D.S., M.S., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Overland Park, KS
  • NPI 1174640874
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780730226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11940 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132222",
            "telephone_number": "913-469-9723",
            "fax_number": "913-469-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132222",
            "telephone_number": "913-469-9723",
            "fax_number": "913-469-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "JEREMY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KS",
            "license": "60358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frontier Healthcare LLC
• Tyson Mark Frost
• Julianne Fruge-Ross, PT
• Baleigh M Fry, PT, DPT
• Gabriel L Fry
• Olivia Fry
• Robert W Fry, D.D.S., M.S.
• Selena Y Fu, M.D.
• Elizabeth Fuemmeler, AUD
• Jo Ellen Fuentes, LMT

• Orthodontics and Dentofacial Orthopedics Dentistry in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.