Active NPI
Daniel L. Drefke, D.D.S.
- Dental Clinic/Center
- Pharr, TX
National Provider Identifier
1356768659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 12818
- Legal business name
- DANIEL L. DREFKE, D.D.S.
- Practice address
- 1104 W Sam Houston Blvd Ste a
Pharr, TX 78577-5104 - Phone
- (956) 781-0031
- Fax
- (956) 781-0202
- NPI assigned
- Mar 25, 2014
- 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
- Dr. Daniel Lewis Drefke
- Title
- Dentist/ Owner
- Phone
- (956) 781-0031
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 12818 | TX | Primary |
Addresses
Primary practice location
1104 W Sam Houston Blvd Ste a
Pharr, TX 78577-5104
Mailing address
1104 W Sam Houston Blvd Ste a
Pharr, TX 78577-5104
Phone (956) 781-0031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111230202 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1104 W Sam Houston Blvd
#A
Pharr, TX 78577
Phone (956) 781-0031
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Pharr, TX
- NPI 1235243940
-
- Dentist
- Pharr, TX
- NPI 1427011626
-
- Dentist
- Pharr, TX
- NPI 1851961288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395705600000",
"number": "1356768659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 W SAM HOUSTON BLVD STE A",
"city": "PHARR",
"state": "TX",
"postal_code": "785775104",
"telephone_number": "956-781-0031",
"fax_number": "956-781-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 W SAM HOUSTON BLVD STE A",
"city": "PHARR",
"state": "TX",
"postal_code": "785775104",
"telephone_number": "956-781-0031",
"fax_number": "956-781-0202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL L. DREFKE, D.D.S.",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-25",
"last_updated": "2014-03-25",
"status": "A",
"authorized_official_last_name": "DREFKE",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "DENTIST/ OWNER",
"authorized_official_telephone_number": "956-781-0031",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "TX",
"license": "12818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111230202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pharr, TX
- CVS Pharmacy Inc (CVS Pharmacy #10142)
- D & R Health Care Providers, Inc. (Medical Innovations Home Health Care)
- D & R Healthcare Providers, Inc. (Medical Innovations Home Health Care)
- Anita D'Sa, M.D.
- D&R Healthcare Providers, Inc. (Medical Innovations Home Health Care)
- Jeffery Neil Darr, LAT
- Maria Davila, P.A.
- Antonilla Lucinda Davis, MS, CCC-SLP
- Rosalba De Hoyos, LPC
- Claudia H De la Cruz, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.