DR. FRANK BREITFELLER D.D.S., NPI 1730177890 — CUMBERLAND (MD)

NPI 1730177890

14+ Years Experience Individual

DR. FRANK BREITFELLER D.D.S.

10.12.2005
PROVIDER ENUMERATION DATE
07.09.2007
LAST UPDATE DATE
1730177890
NPI NUMBER

About DR. FRANK BREITFELLER

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

DR. FRANK BREITFELLER is a provider established in CUMBERLAND, MD. The NPI number of DR. FRANK BREITFELLER is 1730177890 and was assigned on 10.12.2005. The practitioners primary taxonomy code is: 1223G0001X with license number: 11555 MD .

Mailing address

  • City: FLINTSTONE
  • State: MD
  • Postal code: 215301040
  • Phone: 3017771863
  • Address: 14010 PLEASANT VALLEY RD NE

Primary Practice Address

  • Region : CUMBERLAND, MD
  • NPI : 1730177890
  • Phone : 3017224277
  • Fax : 3017224280
  • Postalcode : 215021233
  • Address : 815 FREDERICK ST

Additional identifiers

  • Identifier: 148224600
  • Code / Type : 5 - MEDICAID
  • Identifier state : MD

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Provider taxonomy - Dentist

  • Taxonomy code: 1223G0001X
  • License number: 11555
  • License state: MD

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients" oral health needs.

Contacts:

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  • DR. FRANK BREITFELLER D.D.S.
  • Address : 815 FREDERICK ST
  • Region : CUMBERLAND, MD
  • NPI : 1730177890
  • Phone : 3017224277
  • Fax : 3017224280
  • Postalcode : 215021233

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address815 FREDERICK ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameCUMBERLAND
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMD
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code215021233
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3017224277
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number3017224280
The fax number associated with the location address of the provider being identified.
NPI1730177890
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 11223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients" oral health needs.
Provider Enumeration Date10.12.2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.09.2007
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. FRANK BREITFELLER
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address14010 PLEASANT VALLEY RD NE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameFLINTSTONE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMD
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code215301040
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3017771863
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #11223G0001X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients" oral health needs.
Provider License Number 111555
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1MD
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 1148224600
Other Provider Identifier #1
Other Provider Identifier Type 15
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1MD
Other Provider Identifier State #1
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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