Erin Corsi Fraundorf, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2017000641 Issued in MO

Practice address

3009 State Hwy K
O'Fallon, MO 63368

Phone

(636) 379-7552

NPI assigned

Oct 22, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Alex Sharifian D.D.S., Creve Coeur Dentistry, P.C.

  • Dentist
  • Creve Coeur, MO
  • NPI 1821487596
  NPD (past)
• Alex Sharifian DDS Ofallon Modern Dentistry PC

  • General Practice Dentistry
  • O'Fallon, MO
  • NPI 1407281314
  NPD (past)
• Bryan Watanabe DDS Ladue Dental Group, PC

  • General Practice Dentistry
  • Ladue, MO
  • NPI 1851784490
  NPD (past)

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1972079556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13676 ARMSTEAD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311513",
            "telephone_number": "262-366-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 STATE HWY K",
            "city": "O'FALLON",
            "state": "MO",
            "postal_code": "63368",
            "telephone_number": "636-379-7552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11437 Olive Blvd",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631417108",
            "country_code": "US",
            "telephone_number": "314-355-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8859 LaDue Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631242045",
            "country_code": "US",
            "telephone_number": "314-983-8011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAUNDORF",
        "first_name": "ERIN",
        "middle_name": "CORSI",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2017000641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Daugherty, OD
• Mark Jeffrey Dolson, DDS,PC
• Joan Durbin, RPT
• Endocrine Consultatns, LLC
• Michael E Engel, MD
• Darla J Freiner
• Louis Gaefke, DPM
• Elizabeth Gebelein
• John Michael Goodwin, D.C.
• Lisa N. Greer

• All providers in O'Fallon, MO
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.