Frazier & Kopp DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FRAZIER & KOPP DDS PC

Practice address

690 N Il Route 31
Crystal Lake, IL 60012-3790

Phone

(815) 477-4055

Fax

(815) 477-4057

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph I Frazier III, DDS

Title

President

Phone

(815) 477-4055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871662486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 N IL ROUTE 31",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123790",
            "telephone_number": "815-477-4055",
            "fax_number": "815-477-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N IL ROUTE 31",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123790",
            "telephone_number": "815-477-4055",
            "fax_number": "815-477-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAZIER & KOPP DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-477-4055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fox Valley Internal Medicine, LLC
• Fox Valley Podiatrists of McHenry County
• Nicole Ashley Fox, DPT
• Megan Foy
• Jenna Frank
• Courtney N Frazier, MS
• Joseph I Frazier, DDS
• Frederick M. Fitzpatrick, D.D.S., P.C.
• Merisa R Freeman
• Brett David Freitag, OD

• All providers in Crystal Lake, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.