Individual provider Active NPI

James Terry Frey, DDS

  • General Practice Dentistry
  • North Vernon, IN
National Provider Identifier
1922011337
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12006939 Issued in IN
Practice address
623 N State Street
North Vernon, IN 47265
Phone
(812) 346-6884
Fax
(812) 346-6884
NPI assigned
Aug 15, 2006
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DB-2025-0516 NM
General Practice Dentistry 1223G0001X 12006939 IN Primary

Addresses

Primary practice location

623 N State Street
North Vernon, IN 47265

Mailing address

PO Box 1008
North Vernon, IN 47265-5008
Phone (812) 346-6884

Other practice location 1

4120 Barbara Loop SE
Rio Rancho, NM 87124-1000
Phone (505) 498-3235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20151009000195 IN Order and Referring Only - DentistPractitioner - Dentist 6507174646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DB-2025-0516NMMDDentist
12006939INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
J Terry Frey DDS PC General Practice Past Accepting new patients
North Vernon Family Dental LLC Dentist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: james.frey.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1922011337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472655008",
            "telephone_number": "812-346-6884",
            "fax_number": "812-346-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 N STATE STREET",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "47265",
            "telephone_number": "812-346-6884",
            "fax_number": "812-346-6884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4120 Barbara Loop SE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871241000",
            "country_code": "US",
            "telephone_number": "505-498-3235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREY",
        "first_name": "JAMES",
        "middle_name": "TERRY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DB-2025-0516",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12006939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Vernon, IN

Sources for this page

Verify at the official NPI Registry.