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DR. TYSON L FRENZEL DDS
NPI 1811065428
Dentist in Bolingbrook, IL

Active since December 01, 2006Opted out of Medicare · through Jul 13, 2027
160 E BOUGHTON RD, BOLINGBROOK, IL 60440(630) 759-8940 Get Directions Write a Review

NPPES record last updated: July 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tyson L Frenzel Dds NPPES

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

DR. TYSON L FRENZEL DDS (NPI 1811065428) is an individual dentist in Bolingbrook, Illinois, licensed in Illinois (019023931) and active in the NPI registry since December 2006. He has opted out of Medicare through July 13, 2027.

NPPES Registry Identity

NPI1811065428
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TYSON L FRENZELCredential: DDS
Location Address160 E BOUGHTON RDBolingbrook, IL 60440-2014
Mailing Address14533 Colonial PkwyPlainfield, IL 60544
Phone(630) 759-8940
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 27, 2015
✔ NPI 1811065428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019023931
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
160 E BOUGHTON RD, Bolingbrook, IL 60440
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Other Identifiers 1

Other15921IL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

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. Tyson L Frenzel Dds 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 July 13, 2015 through July 13, 2027.

Opt-Out Effective DateJuly 13, 2015
Opt-Out In Effect ThroughJuly 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHELE KAREN SACKHEIM DDS MSD
Dentist (Periodontics)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 759-8940
DR. MARITZA AIDEE PEREZ DDS
Dentist (General Practice)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 759-8940
PROFESSIONAL DENTAL ALLIANCE OF GROVE DENTAL SPECIALTY LLC
Clinic/Center (Dental)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 410-1766
PROFESSIONAL DENTAL ALLIANCE OF GROVE DENTAL LLC
Clinic/Center (Dental)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 759-8940
PROFESSIONAL DENTAL ALLIANCE OF ILLINOIS ORTHO PLLC
Clinic/Center (Dental)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 410-1766

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 Tyson Frenzel's NPI number?

The NPI number for Tyson Frenzel is 1811065428. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Tyson Frenzel located?

Tyson Frenzel practices at 160 E Boughton Rd, Bolingbrook, IL 60440. The listed phone number is (630) 759-8940.

What is Tyson Frenzel's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tyson Frenzel enrolled in Medicare?

No. Tyson Frenzel has opted out of Medicare through July 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Tyson Frenzel accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Tyson Frenzel 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 Tyson Frenzel was last updated on July 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.