Individual provider Active NPI

Whitman William Frye Jr.

  • Driver
  • Chesterfield, MI
National Provider Identifier
1821708264
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
F600873887650 Issued in MI
Practice address
28386 Raleigh Crescent Dr
Chesterfield, MI 48051-2308
Phone
(810) 892-3929
NPI assigned
Nov 28, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F600873887650MIMDDriver

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X F600873887650 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

28386 Raleigh Crescent Dr
Chesterfield, MI 48051-2308

Mailing address

28386 Raleigh Crescent Dr
Chesterfield, MI 48051-2308
Phone (810) 892-3929

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL TAZLEEMO.AGENCY Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2022.

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1821708264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28386 RALEIGH CRESCENT DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512308",
            "telephone_number": "810-892-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28386 RALEIGH CRESCENT DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512308",
            "telephone_number": "810-892-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "WHITMAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MI",
            "license": "F600873887650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TAZLEEMO.AGENCY",
            "affiliation": "N",
            "endpointDescription": "WEBSITE FOR ASSISTED TRANSPORTATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "28386 Raleigh Crescent Dr",
            "city": "Chesterfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480512308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.