Individual provider Active NPI

Dale T Dreiling, MD

  • Family Medicine Physician
  • Dubuque, IA
National Provider Identifier
1295827152
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40800 Issued in IA
Practice address
1605 Associates Dr
Suite 101
Dubuque, IA 52002-2270
Phone
(563) 584-4862
Fax
(563) 556-5134
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40800 IA Primary

Addresses

Primary practice location

1605 Associates Dr
Suite 101
Dubuque, IA 52002-2270

Mailing address

1605 Associates Dr
Suite 101
Dubuque, IA 52002-2270
Phone (563) 584-4862

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

State licenses

LicenseStateTypeSpecialty
40800IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Internal Medicine of Villa Rica, Inc. PastSince Feb 12, 2010 Accepting new patients
Geisinger Clinic Selinsgrove Family Medicine Past Accepting new patients
Staten Island Physician Practice PC Family Medicine Past Accepting new patients
TMC West Carroll Family Healthcare Center Inc Family Medicine PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1295827152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 ASSOCIATES DR",
            "address_2": "SUITE 101",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022270",
            "telephone_number": "563-584-4862",
            "fax_number": "563-556-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 ASSOCIATES DR",
            "address_2": "SUITE 101",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022270",
            "telephone_number": "563-584-4862",
            "fax_number": "563-556-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREILING",
        "first_name": "DALE",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "40800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.