NPIMap

Organization Active NPI

Jeremy R. Fry, D.D.S., M.S., LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Overland Park, KS
National Provider Identifier
1841569126
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
60358 Issued in KS
Legal business name
JEREMY R. FRY, D.D.S., M.S., LLC
Practice address
11940 Quivira Rd
Overland Park, KS 66213-2222
Phone
(913) 469-9191
Fax
(913) 469-6491
NPI assigned
Dec 15, 2011
Last updated
Dec 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Dr. Jeremy R Fry, D.D.S., M.S., LLCNPI 1780730226
Title
Owner
Phone
(913) 469-9191

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 60358 KS Primary

Addresses

Primary practice location

11940 Quivira Rd
Overland Park, KS 66213-2222

Mailing address

11940 Quivira Rd
Overland Park, KS 66213-2222
Phone (913) 469-9191

National Provider Directory

National Provider Directory

Locations

11940 Quivira Rd
Overland Park, KS 66213
Phone (913) 469-9191

Practitioners & affiliated clinicians

Practitioners 6

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": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1841569126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11940 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132222",
            "telephone_number": "913-469-9191",
            "fax_number": "913-469-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132222",
            "telephone_number": "913-469-9191",
            "fax_number": "913-469-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY R. FRY, D.D.S., M.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-469-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S., LLC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KS",
            "license": "60358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.