Ross a. Fraser, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROSS A. FRASER, DDS PC

Practice address

7627 Lake St
Suite 200
River Forest, IL 60305-1878

Phone

(708) 366-6001

Fax

(708) 366-6076

NPI assigned

Jun 27, 2007

Last updated

Aug 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ross Andrew Fraser, D.D.S.NPI 1215918198

Title

Owner

Phone

(708) 366-6001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ross Andrew Fraser, D.D.S.

  • General Practice Dentistry
  • River Forest, IL
  • NPI 1215918198
  NPD (past) Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1790982486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7627 LAKE ST",
            "address_2": "SUITE 200",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051878",
            "telephone_number": "708-366-6001",
            "fax_number": "708-366-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7627 LAKE ST",
            "address_2": "SUITE 200",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051878",
            "telephone_number": "708-366-6001",
            "fax_number": "708-366-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS A. FRASER, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-366-6001",
        "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": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Forest Surgery Center LLC
• River Forest Surgery Center LLC
• River Grove Medical Partners, LTD
• Riverside Psychology
• Monika Inge Robinson, OTR/L
• Thomas J Rostafinski, PHD
• Eileen Alannah Ruder, M.D.
• Henry Joseph Ruder, M.D.
• Angelika Rupp, LCPC
• Russell P Umbricht DDS LTD (Lathrop Oral Care)

• General Practice Dentistry in River Forest, IL
• Providers in River Forest, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.