Individual provider Active NPI

John S Frantz, DMD

  • Dentist
  • Watkinsville, GA
National Provider Identifier
1962425595
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
011132 Issued in GA
Practice address
1120 Mars Hill Rd
Suite 100
Watkinsville, GA 30677-4800
Phone
(706) 769-1945
Fax
(706) 769-1928
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 011132 GA Primary

Addresses

Primary practice location

1120 Mars Hill Rd
Suite 100
Watkinsville, GA 30677-4800

Mailing address

1120 Mars Hill Rd
Suite 100
Watkinsville, GA 30677-4800
Phone (706) 769-1945

Other identifiers 1

IdentifierTypeStateIssuer
00631254AMedicaidGA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150618003037 GA Order and Referring Only - DentistPractitioner - Dentist 5799096624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011132GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962425595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MARS HILL RD",
            "address_2": "SUITE 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774800",
            "telephone_number": "706-769-1945",
            "fax_number": "706-769-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MARS HILL RD",
            "address_2": "SUITE 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774800",
            "telephone_number": "706-769-1945",
            "fax_number": "706-769-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANTZ",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "011132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00631254A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.