Individual provider Active NPI

Ilya Freyberg, DDS

  • General Practice Dentistry
  • Sunny Isles Beach, FL
National Provider Identifier
1841345485
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049033 Issued in NY
Practice address
210 174TH St Apt M14
Sunny Isles Beach, FL 33160-3335
Phone
(917) 519-3777
Fax
(718) 937-5772
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 049033 NY Primary

Addresses

Primary practice location

210 174TH St Apt M14
Sunny Isles Beach, FL 33160-3335

Mailing address

210 174TH St Apt M14
Sunny Isles Beach, FL 33160-3335
Phone (917) 519-3777

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magic Touch Dentistry, P.a. General Practice Current Accepting new patients
Ilya P Freyberg DDS PA Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1841345485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 174TH ST APT M14",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603335",
            "telephone_number": "917-519-3777",
            "fax_number": "718-937-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 174TH ST APT M14",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603335",
            "telephone_number": "917-519-3777",
            "fax_number": "718-937-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREYBERG",
        "first_name": "ILYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.