Organization Active NPI

Wassenaar Frutiger Wassenaar DDS PC

  • Dentist
  • Alma, MI
National Provider Identifier
1992764443
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D14164 Issued in MI
Legal business name
WASSENAAR FRUTIGER WASSENAAR DDS PC
Practice address
226 N State St
Alma, MI 48801
Phone
(989) 463-5392
Fax
(989) 463-3973
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard C Frutiger, DDSNPI 1043352552
Title
President
Phone
(989) 463-5392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D13742 MI
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D14164 MI Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 1559191 MI
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D18900 MI

Addresses

Primary practice location

226 N State St
Alma, MI 48801

Mailing address

226 N State St
Alma, MI 48801
Phone (989) 463-5392

National Provider Directory

National Provider Directory

Locations

226 N State St
Alma, MI 48801
Phone (989) 463-5392

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992764443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N STATE ST",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "48801",
            "telephone_number": "989-463-5392",
            "fax_number": "989-463-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N STATE ST",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "48801",
            "telephone_number": "989-463-5392",
            "fax_number": "989-463-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASSENAAR FRUTIGER WASSENAAR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRUTIGER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-463-5392",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "D13742",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "D14164",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "1559191",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "D18900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.