Active NPI
William Harry Dribben, MD
- Emergency Medicine Physician
- Saint Louis, MO
National Provider Identifier
1295752749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2000146631
- Practice address
- 400 S Kingshighway Blvd
Dept Emergency Medicine
Saint Louis, MO 63110-1014 - Phone
- (314) 362-9123
- Fax
- (314) 747-3338
- NPI assigned
- Jul 17, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Toxicology (Emergency Medicine) Physician | 207PT0002X | 2000146631 | MO | |
| General Practice Physician | 208D00000X | 2000146631 | MO | |
| Emergency Medicine Physician | 207P00000X | 2000146631 | MO | Primary |
Addresses
Primary practice location
400 S Kingshighway Blvd
Dept Emergency Medicine
Saint Louis, MO 63110-1014
Mailing address
660 S Euclid Ave
CB 8072
Saint Louis, MO 63110-1010
Phone (314) 747-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204857304 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1295752749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "CB 8072",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-747-3000",
"fax_number": "314-747-4876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S KINGSHIGHWAY BLVD",
"address_2": "DEPT EMERGENCY MEDICINE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101014",
"telephone_number": "314-362-9123",
"fax_number": "314-747-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIBBEN",
"first_name": "WILLIAM",
"middle_name": "HARRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207PT0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Medical Toxicology",
"state": "MO",
"license": "2000146631",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "2000146631",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2000146631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204857304",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "400 S Kingshighway Blvd",
"address_2": "Dept Emergency Medicine",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.