Active NPI
Dress Reconstructive Surgery, P.a.
- Plastic Surgery Physician
- Fort Walton Beach, FL
National Provider Identifier
1194077099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME87448
- Legal business name
- DRESS RECONSTRUCTIVE SURGERY, P.A.
- Practice address
- 11 Racetrack Rd NE
Ste. E4
Fort Walton Beach, FL 32547-1882 - Phone
- (850) 200-4575
- Fax
- (850) 200-4576
- NPI assigned
- Oct 3, 2012
- Last updated
- Oct 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Michael Dress, M.D.
- Title
- Owner/Plastic Surgeon
- Phone
- (850) 362-6191
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME87448 | FL | Primary |
Addresses
Primary practice location
11 Racetrack Rd NE
Ste. E4
Fort Walton Beach, FL 32547-1882
Mailing address
11 Racetrack Rd NE
Ste. E4
Fort Walton Beach, FL 32547-1882
Phone (850) 200-4575
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- Fort Walton Beach, FL
- NPI 1962472142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349222400000",
"number": "1194077099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 RACETRACK RD NE",
"address_2": "STE. E4",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471882",
"telephone_number": "850-200-4575",
"fax_number": "850-200-4576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 RACETRACK RD NE",
"address_2": "STE. E4",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471882",
"telephone_number": "850-200-4575",
"fax_number": "850-200-4576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRESS RECONSTRUCTIVE SURGERY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-03",
"last_updated": "2012-10-03",
"status": "A",
"authorized_official_last_name": "DRESS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/PLASTIC SURGEON",
"authorized_official_telephone_number": "850-362-6191",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME87448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
- Dr. Edward M. Frisbee Canter for Heathly Living
- Dr. Sean L. Price, PA (Gulf Coast Chiropractic and Wellness)
- Diana Drain
- Cozette Drake, LCSW
- Dress Cosmetic Surgery, P.a.
- Christopher Michael Dress, M.D.
- DRS. Frisbee Family Chiropractic PA
- Luz Anuri Drummond, N.P.
- Ashley Dubois, D.D.S.
- Brianna Isabella Duby
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.