Fredrick C Disque, D.M.D

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS016669L Issued in PA

Practice address

600 E Marshall St
Suite 106
West Chester, PA 19380-4441

Phone

(610) 431-2161

Fax

(610) 431-2173

NPI assigned

Jan 18, 2006

Last updated

Jul 16, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1871573857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E MARSHALL ST",
            "address_2": "SUITE 106",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804441",
            "telephone_number": "610-431-2161",
            "fax_number": "610-431-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MARSHALL ST",
            "address_2": "SUITE 106",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804441",
            "telephone_number": "610-431-2161",
            "fax_number": "610-431-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISQUE",
        "first_name": "FREDRICK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS016669L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul J Diorio
• Nicolette Dipasquale
• Kara Dirocco, MS, OTR/L
• Discover Psychological Wellness, PLLC
• Ryan Disko
• Cara Joy Dixon, M.A.,L.P.C, N.C.C
• Shana Dixon
• Timothy Joseph Dobbs Jr., PTA
• Doctor Craig LLC
• Monica Dolan-Strachan, LCSW

• Oral and Maxillofacial Surgery (Dentist) in West Chester, PA
• Providers in West Chester, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.