Lindsay Frederick

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.027024 Issued in OH

Practice address

225 E State Route 14 Ste 205
Columbiana, OH 44408-8490

Phone

(330) 892-0173

NPI assigned

Jun 30, 2015

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lindsay Frederick DMD LLC

  • General Practice Dentistry
  • Columbiana, OH
  • NPI 1447097308
  NPD Authorized official
• Frank B. Wanat DDS, Inc.

  • General Practice Dentistry
  • Columbiana, OH
  • NPI 1619008695
  NPD
• Ohio Dental Professionals, Delisle, P.C.

  dba Peak Dental of Lakewood

  • General Practice Dentistry
  • Lakewood, OH
  • NPI 1255049110
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1982087672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E STATE ROUTE 14 STE 205",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088490",
            "telephone_number": "330-892-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E STATE ROUTE 14 STE 205",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088490",
            "telephone_number": "330-892-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "LINDSAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009267",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Catchers Optical LLC
• Gregory J Fagert, O.D.
• Firestone Surgery Center, LLC
• Nicole Marie Flask, OT
• Frank B. Wanat DDS, Inc.
• Braydon Gibson, DC
• Maria Greier, APRN-C
• Lori Jean Grenich, MS, MSN, RN, CNP
• Steven David Grossman, M.D.
• Albert J Guarnieri, PT

• General Practice Dentistry in Columbiana, OH
• Providers in Columbiana, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.