Sidney Harold Friedman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001442-015 Issued in WI

Practice address

10345 N Port Washington Rd
Suite #150
Mequon, WI 53092-5762

Phone

(262) 240-9400

Fax

(262) 241-5652

NPI assigned

Dec 2, 2005

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sidney H. Friedman, DDS, SC

  • General Practice Dentistry
  • Mequon, WI
  • NPI 1801920764
  NPD (past) Authorized official

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902880875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10345 N PORT WASHINGTON RD",
            "address_2": "SUITE #150",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925762",
            "telephone_number": "262-240-9400",
            "fax_number": "262-241-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 N PORT WASHINGTON RD",
            "address_2": "SUITE #150",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925762",
            "telephone_number": "262-240-9400",
            "fax_number": "262-241-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "SIDNEY",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001442-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Cory Frazier, SAC-IT
• Freedom Therapy LLC
• Fresh Start Physical Therapy LLC
• Fresh Start Physical Therapy LLC
• Roberta Jean Friederichs, RN
• Louisa Frimpong
• Brittany Frisque, NP-C
• Alexa Joyce Fritsch
• Jeremy Fritz
• Froedtert & the Medical College of Wisconsin Community Physicians

• General Practice Dentistry in Mequon, WI
• Providers in Mequon, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.