DR. FREDRICK JOSEPH PLATT D.D.S.
NPI 1154632776
Dentist - General Practice in Tyler, TX

Q: What is Fredrick Platt's NPI number?

The NPI number for Fredrick Platt is 1154632776. It was assigned to this individual provider in the NPPES registry on June 29, 2010. The provider is also known as Dr. Freddy Platt Dds.

Q: What is Fredrick Platt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Fredrick Platt enrolled in Medicare?

No. Fredrick Platt has opted out of Medicare through August 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Fredrick Platt was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 29, 2010Opted out of Medicare · through Aug 4, 2027

2020 LINDBERGH ST, TYLER, TX 75703(903) 592-7111 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2019, Nov 9, 2017 (2 updates tracked since 2017).

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About Dr. Fredrick Joseph Platt D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FREDRICK JOSEPH PLATT D.D.S. (NPI 1154632776) is an individual general practice provider in Tyler, Texas, licensed in Texas (25670) and active in the NPI registry since June 2010. He has opted out of Medicare through August 4, 2027 and remains eligible to order and refer and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1154632776

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. FREDRICK JOSEPH PLATTCredential: D.D.S.

Location Address2020 LINDBERGH STTyler, TX 75703-1714

Mailing Address2020 Lindbergh StTyler, TX 75703-1714 · (903) 592-7111

Phone(903) 592-7111

Sole ProprietorYes

Enumeration DateJune 29, 2010

Last NPPES UpdateMay 30, 20192 updates tracked since enumeration

✔ NPI 1154632776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 25670

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

2020 LINDBERGH ST, Tyler, TX 75703

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Other Names 1

Other Name (5)Dr. Freddy Platt Dds

Secondary Practice Location 1

Location 12020 Lindbergh StTyler, TX 75703-1714 · Phone (903) 592-7111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Fredrick Joseph Platt D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 4, 2015 through August 4, 2027.

Opt-Out Effective DateAugust 4, 2015

Opt-Out In Effect ThroughAugust 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fredrick Platt's NPI number?

The NPI number for Fredrick Platt is 1154632776. It was assigned to this individual provider in the NPPES registry on June 29, 2010. The provider is also known as Dr. Freddy Platt Dds.

Where is Fredrick Platt located?

Fredrick Platt practices at 2020 Lindbergh St, Tyler, TX 75703. The listed phone number is (903) 592-7111.

What is Fredrick Platt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Fredrick Platt enrolled in Medicare?

No. Fredrick Platt has opted out of Medicare through August 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Fredrick Platt was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.