Organization Active NPI

Fratmishin J. Alexander

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1902393465
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FRATMISHIN J. ALEXANDER
Practice address
6408 N California Ave
Chicago, IL 60645-5209
Phone
(773) 338-6565
Fax
(773) 338-6552
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Augania John Alexander
Title
Office Manager
Phone
(773) 338-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6408 N California Ave
Chicago, IL 60645-5209

Mailing address

PO Box 597770
Chicago, IL 60659-7770
Phone (773) 338-6565

Other identifiers 1

IdentifierTypeStateIssuer
1001041MedicaidIL

National Provider Directory

National Provider Directory

Locations

6408 N California Ave
Chicago, IL 60645
Phone (773) 338-6565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1902393465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597770",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606597770",
            "telephone_number": "773-338-6565",
            "fax_number": "773-338-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606455209",
            "telephone_number": "773-338-6565",
            "fax_number": "773-338-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRATMISHIN J. ALEXANDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "AUGANIA",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-338-6565"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001041",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.