James F. Fondriest, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Practice address

560 Oakwood Ave
Suite 200
Lake Forest, IL 60045-1972

Phone

(847) 234-0517

NPI assigned

Jul 11, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1902004914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 OAKWOOD AVE",
            "address_2": "SUITE 200",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451972",
            "telephone_number": "847-234-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 OAKWOOD AVE",
            "address_2": "SUITE 200",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451972",
            "telephone_number": "847-234-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDRIEST",
        "first_name": "JAMES",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Anne Flory, P.T., C.L.T.
• Sharon Anne Foertsch, DDS
• Todd Alan Foister Jr., APRN, CNP
• Brooke Ann Folkrod, CCC-SLP
• Diane W Fondriest, MD
• Jhan Carlo Fontanilla, DPT
• Forest Foot Surgery
• Forest Orthodontics and Pediatric Dentistry
• Kelly Kathleen Forster Ivy, CNM, WHNP-BC
• Forward Focus Medical Care LLC

• Prosthodontics in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Prosthodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.