Paul W Fraysure Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

9342 Issued in GA

Practice address

229 Carl Vinson Pkwy
Warner Robins, GA 31088-5815

Phone

(478) 922-4922

Fax

(478) 929-5292

NPI assigned

Aug 13, 2008

Last updated

Aug 13, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Associates of Warner Robins, LLC

  • General Practice Dentistry
  • Warner Robins, GA
  • NPI 1356488118
  NPD (past)
• Professional Dental Alliance Warner Robins C Vinson Pky, LLC

  dba Dental Associates of Warner Robins

  • Dentist
  • Warner Robins, GA
  • NPI 1013488139
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1942456728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 CARL VINSON PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885815",
            "telephone_number": "478-922-4922",
            "fax_number": "478-929-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 CARL VINSON PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885815",
            "telephone_number": "478-922-4922",
            "fax_number": "478-929-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAYSURE",
        "first_name": "PAUL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "9342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Kay Fowler, CADCII
• Neva Danielle Knight Fox, LMFT, AAMFT
• Donisha Francis
• James Franz, PSY.D.
• Jenna Rubin Franz, FNP
• Brittny C Frazier, PHARMD
• Shirley Lorraine Frazier
• Frederick W. Jennart DO PC
• Aukeya Monet Freeman, PHARMD
• William E Freeman, M.D.

• Dentist in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.