Active NPI
Stan D Drabik, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Webster, NY
National Provider Identifier
1013078997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 045286
- Practice address
- 1110 Crosspointe Lane
Suite B
Webster, NY 14580 - Phone
- (585) 872-4660
- Fax
- (585) 216-1011
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 045286 | NY | Primary |
Addresses
Primary practice location
1110 Crosspointe Lane
Suite B
Webster, NY 14580
Mailing address
1110 Crosspointe Lane
Suite B
Webster, NY 14580
Phone (585) 872-4660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7004 | Other | BCBS | |
| 02207610 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webster Orthodontics, PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Webster, NY
- NPI 1538003173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013078997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 CROSSPOINTE LANE",
"address_2": "SUITE B",
"city": "WEBSTER",
"state": "NY",
"postal_code": "14580",
"telephone_number": "585-872-4660",
"fax_number": "585-216-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 CROSSPOINTE LANE",
"address_2": "SUITE B",
"city": "WEBSTER",
"state": "NY",
"postal_code": "14580",
"telephone_number": "585-872-4660",
"fax_number": "585-216-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRABIK",
"first_name": "STAN",
"middle_name": "D",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "045286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "7004",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02207610",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.