Active NPI
Michael P Frantal, DDS
- Dentist
- Kenosha, WI
National Provider Identifier
1932316031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5784-015
- Practice address
- 7601 Pershing Blvd
Kenosha, WI 53142-4321 - Phone
- (262) 694-1100
- Fax
- (262) 694-1103
- NPI assigned
- May 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5784-015 | WI | Primary |
Addresses
Primary practice location
7601 Pershing Blvd
Kenosha, WI 53142-4321
Mailing address
7601 Pershing Blvd
Kenosha, WI 53142-4321
Phone (262) 694-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5784-015 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrence K Frantal DDS SC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Kenosha, WI
- NPI 1083821169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932316031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 PERSHING BLVD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531424321",
"telephone_number": "262-694-1100",
"fax_number": "262-694-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 PERSHING BLVD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531424321",
"telephone_number": "262-694-1100",
"fax_number": "262-694-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANTAL",
"first_name": "MICHAEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "5784-015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.