Ian C Frykman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7960 Issued in MN

Practice address

625 E Nicollet Blvd
Suite 201
Burnsville, MN 55337

Phone

(952) 435-0321

Fax

(952) 435-0369

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1942237110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E NICOLLET BLVD",
            "address_2": "SUITE 201",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-435-0321",
            "fax_number": "952-435-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E NICOLLET BLVD",
            "address_2": "SUITE 201",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-435-0321",
            "fax_number": "952-435-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYKMAN",
        "first_name": "IAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D7960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22713FR",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367013900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CANCORDIA",
            "identifier": "851144",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Joseph Froemke, PT
• Eleanor Julia Frommelt
• Kora Nicole Frovik
• Kristina Marie Fruechtl, D.C.
• Derek Fruetel, D.C.
• Full Circle Therapy
• Sherri Fuller, NP
• Cassidy Marie Furey, APRN, CNP
• Anne Marie Furuseth, M.D.
• Mara Jane Fusco, LPCC

• General Practice Dentistry in Burnsville, MN
• Providers in Burnsville, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.