Organization Active NPI

Zachary T Frazier DDS PC

Doing business as Zach Frazier Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Downers Grove, IL
National Provider Identifier
1982083135
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
019028645 Issued in IL
Legal business name
ZACHARY T FRAZIER DDS PC
Doing business as
Zach Frazier Orthodontics
Practice address
4909 Forest Ave
Downers Grove, IL 60515-3509
Phone
(630) 541-3696
Fax
(630) 541-9179
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Zachary T Frazier, DDS
Title
President
Phone
(630) 541-3696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 019028645 IL Primary

Addresses

Primary practice location

4909 Forest Ave
Downers Grove, IL 60515-3509

Mailing address

4909 Forest Ave
Downers Grove, IL 60515-3509
Phone (630) 541-3696

Other names 1

  • Zach Frazier Orthodontics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1982083135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 FOREST AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153509",
            "telephone_number": "630-541-3696",
            "fax_number": "630-541-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 FOREST AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153509",
            "telephone_number": "630-541-3696",
            "fax_number": "630-541-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY T FRAZIER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-541-3696",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019028645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zach Frazier Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.