Organization Active NPI

Daniel L. Drefke, D.D.S.

  • Dental Clinic/Center
  • Pharr, TX
National Provider Identifier
1356768659
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12818 Issued in TX
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

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Dr. Daniel Lewis DrefkeNPI 1235243940
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
111230202MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.