MR. NATHAN DAVID FRY DMD
NPI 1558640888
Dentist - General Practice in Petoskey, MI

Active since August 04, 2011PECOS Enrolled
2503 CHARLEVOIX AVE., PETOSKEY, MI 49770(231) 347-5317(231) 347-7933 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Nathan David Fry Dmd NPPES

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

MR. NATHAN DAVID FRY DMD (NPI 1558640888) is an individual general practice provider in Petoskey, Michigan, licensed in Michigan (2901020440) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558640888
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. NATHAN DAVID FRYCredential: DMD
Location Address2503 CHARLEVOIX AVE.Petoskey, MI 49770
Mailing Address2503 Charlevoix Ave.Petoskey, MI 49770 · (231) 347-5317 · Fax (231) 347-7933
Fax(231) 347-7933
Sole ProprietorNo
Enumeration DateAugust 4, 2011
Last NPPES UpdateMay 29, 2019
NPI 1558640888 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 MI · 2901020440
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 ListedDentistTaxonomy 122300000X · License 2901020440 (MI)
2503 CHARLEVOIX AVE., Petoskey, MI 49770

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Nathan David Fry Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49770 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 Nathan Fry's NPI number?

The NPI number for Nathan Fry is 1558640888. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Nathan Fry located?

Nathan Fry practices at 2503 Charlevoix Ave., Petoskey, MI 49770. The listed phone number is (231) 347-5317.

What is Nathan Fry's specialty?

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

Is Nathan Fry enrolled in Medicare?

Yes. Nathan Fry is registered in the Medicare PECOS enrollment system.

What insurance does Nathan Fry accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian list Nathan Fry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nathan Fry was last updated on May 29, 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.