NPIMap

Organization Active NPI

Fraiz Dental Group P.C.

Doing business as Fraiz and Christine Dentistry

  • General Practice Dentistry
  • Kokomo, IN
National Provider Identifier
1801390992
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FRAIZ DENTAL GROUP P.C.
Doing business as
Fraiz and Christine Dentistry
Practice address
604 E Boulevard Ste a
Kokomo, IN 46902-2286
Phone
(765) 864-2325
Fax
(765) 453-6920
NPI assigned
Mar 22, 2018
Last updated
Mar 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Dr. Brian Robert Fraiz, DDSNPI 1457889768
Title
President
Phone
(317) 213-3604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

604 E Boulevard Ste a
Kokomo, IN 46902-2286

Mailing address

604 E Boulevard Ste a
Kokomo, IN 46902-2286
Phone (765) 864-2325

Other names 1

  • Fraiz and Christine Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1801390992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 E BOULEVARD STE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022286",
            "telephone_number": "765-864-2325",
            "fax_number": "765-453-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E BOULEVARD STE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022286",
            "telephone_number": "765-864-2325",
            "fax_number": "765-453-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAIZ DENTAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "FRAIZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-213-3604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fraiz and Christine Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.