Frey Dental Corporation

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

FREY DENTAL CORPORATION

Practice address

8989 Rio San Diego Dr Ste 170
San Diego, CA 92108-1604

Phone

(619) 280-9100

NPI assigned

Nov 1, 2020

Last updated

Nov 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Jonathan Masuda Frey, DDS, MPHNPI 1902367485

Title

Ceo/Owner

Phone

(408) 309-6430

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Jonathan Masuda Frey, DDS, MPH

  • Dentist
  • San Diego, CA
  • NPI 1902367485
  NPD Authorized official

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604188800000",
    "number": "1932709532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 5TH AVE APT 401",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035067",
            "telephone_number": "408-309-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8989 RIO SAN DIEGO DR STE 170",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081604",
            "telephone_number": "619-280-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JONATHAN MASUDA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "408-309-6430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MPH"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Freund
• Letitia Christen Freund
• Steven Freund
• Megan Harris Freundlich, RD
• Rachelle Freville
• Christine Marie Frey
• Conrad J. Frey, M.D.
• Erin Danielle Frey
• Jenna Gloria Frey, DMDD
• John R. Frey, M.D.

• Preferred Provider Organization in San Diego, CA
• Providers in San Diego, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; 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.