Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356572226 Individual Practitioner Male Practitioner

Dr. Frederick Jeremy John , DMD

Dentist - Pediatric Dentistry • Carson City, NV

Professional Overview & Biography Verified Profile Summary

Dr. Frederick John, DMD is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Carson City, NV. Practice services are available at 4530 S CARSON ST STE 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4530 S Carson St Ste 5

Carson City, NV 897016914

Telephone 7754613800
Fax 7754613801
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Carson City, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Carson City, NV (100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-21
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License NV S6-140

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Kevin Olson , DMD

Dentist - Pediatric Dentistry

NPI 1770718850

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 21, 2020

Registered at 4530 S CARSON ST STE 5, CARSON CITY, NV 897016914 (Tel: 7754613800)

📍
Updated Business Mailing Address October 21, 2020

Registered at 4530 S CARSON ST STE 5, CARSON CITY, NV 897016914 (Tel: 7754613800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2020

Dentist (License #S6-140 in NV)

NPI Profile Active September 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2015

Registered at 100 NORTH MARIO CAPECCHI DRIVE, SUITE 3550, SALT LAKE CITY, UT 841131103 (Tel: 8016623900)

📍
Updated Business Mailing Address September 02, 2015

Registered at 708 HIGHLAND ST, CARSON CITY, NV 897034852 (Tel: 7024498409)

👤
Provider Name / Credentials Updated September 02, 2015

Recorded as FREDERICK JOHN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2015

Dentist (License #DD3165 in NM)

🟢
Initial NPI Registration & Enumeration July 27, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356572226
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2009
Last Update: October 21, 2020
Sole Proprietor: No

Mailing Address

4530 S Carson St Ste 5

Carson City, NV 897016914

Phone: 7754613800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.