NPIMap

Organization Active NPI

Brenda G Fritz DMD PC

  • Dentist
  • Jasper, GA
National Provider Identifier
1922760412
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRENDA G FRITZ DMD PC
Practice address
585 Cove Rd
Jasper, GA 30143-1358
Phone
(706) 692-6429
NPI assigned
Oct 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Dr. Brenda G Fritz, DMD
Title
Authorized Official
Phone
(706) 692-6429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

585 Cove Rd
Jasper, GA 30143-1358

Mailing address

585 Cove Rd
Jasper, GA 30143-1358
Phone (706) 692-6429

National Provider Directory

National Provider Directory

Locations

585 Cove Rd
Jasper, GA 30143
Phone (706) 692-6429

Practitioners & affiliated clinicians

Practitioners 2

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": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1922760412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 COVE RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431358",
            "telephone_number": "706-692-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 COVE RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431358",
            "telephone_number": "706-692-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA G FRITZ DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "706-692-6429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.