Organization Active NPI

John K. Drisdale III, DMD, PLLC

  • Dental Clinic/Center
  • Midland, TX
National Provider Identifier
1265036917
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOHN K. DRISDALE III, DMD, PLLC
Practice address
2303 W Louisiana Ave
Midland, TX 79701-5800
Phone
(512) 468-5071
NPI assigned
Nov 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John K Drisdale III, DMD
Title
Owner
Phone
(512) 468-5071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2303 W Louisiana Ave
Midland, TX 79701-5800

Mailing address

2303 W Louisiana Ave
Midland, TX 79701-5800
Phone (432) 684-7424

National Provider Directory

National Provider Directory

Locations

2303 W Louisiana Ave
Midland, TX 79701
Phone (432) 684-7424

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1265036917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 W LOUISIANA AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015800",
            "telephone_number": "432-684-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 W LOUISIANA AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015800",
            "telephone_number": "512-468-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN K. DRISDALE III, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "DRISDALE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-468-5071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.