Michael Kristopher Frazier, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN013710 Issued in GA

Practice address

615 2ND Ave
Rochelle, GA 31079-2055

Phone

(229) 365-0056

Fax

(229) 365-7737

NPI assigned

Jun 26, 2008

Last updated

Nov 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rochelle Dental

  • General Practice Dentistry
  • Rochelle, GA
  • NPI 1437303567
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1841452364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "ROCHELLE",
            "state": "GA",
            "postal_code": "310790247",
            "telephone_number": "229-365-0056",
            "fax_number": "229-365-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 2ND AVE",
            "city": "ROCHELLE",
            "state": "GA",
            "postal_code": "310792055",
            "telephone_number": "229-365-0056",
            "fax_number": "229-365-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "MICHAEL",
        "middle_name": "KRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Careconnect Health, Inc. (CareConnect Family Practice and Pediatrics)
• James Hank Cook, D.M.D
• Crisp Regional Hospital, Inc. (Rochelle Healthcare Clinic)
• Jasmine Daniels
• Randall Benjamin Forehand, NP-C
• High Cotton Homes, LLC (Northside Villa)
• Teresa Maraman Holmes
• Cindy Keene, RN, BSN
• Karen Lynn Lewis, NP
• Lori Alexandra Little, FNP-C

• Dentist in Rochelle, GA
• Providers in Rochelle, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.