Jack Fredrickson, D.D.S

ActiveIndividual ProviderDentistry
NPI issued: March 22, 2006

Quick Facts

NPI Number
1427017979
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(928) 855-4347
StateAZ

NPI Validation Status: Verified

Valid 10-digit NPI number (1427017979)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (March 22, 2006)
Data source: CMS NPPES

Provider Overview

JACK FREDRICKSON, D.D.S is a Dentistry provider based in Lake Havasu City, AZ who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1427017979
Provider TypeIndividual Provider
GenderMale
CredentialD.D.S
StatusActive
Enumeration DateMarch 22, 2006

Practice Location

CityLake Havasu City
StateAZ
ZIP Code86403-5674
Phone(928) 855-4347

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateAZ

Mailing Address

CityLake Havasu City
StateAZ
ZIP Code86403-5674
Phone(928) 855-4347
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1427017979 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1427017979for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1427017979 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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174,905
Dentistry Providers in the US

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People Also Ask

What is Jack Fredrickson's NPI number?
Jack Fredrickson's NPI number is 1427017979, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jack Fredrickson's NPI currently active?
Yes, Jack Fredrickson's NPI status is Active as of the latest CMS NPPES database updates.
What does Jack Fredrickson specialize in?
Jack Fredrickson specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Jack Fredrickson practice?
Jack Fredrickson practices in Lake Havasu City, AZ 86403-5674.
When was Jack Fredrickson's NPI issued?
Jack Fredrickson's NPI was issued on March 22, 2006.
What is Jack Fredrickson's provider type?
Jack Fredrickson is registered as an Individual Provider under CMS NPI Type 1.