Individual provider Active NPI

Patrick Steven Drockton, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Medina, OH
National Provider Identifier
1376136879
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30.028355 Issued in OH
Practice address
5002 Foote Rd
Medina, OH 44256-5396
Phone
(330) 725-8449
NPI assigned
Feb 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30.028355 OH Primary

Addresses

Primary practice location

5002 Foote Rd
Medina, OH 44256-5396

Mailing address

5002 Foote Rd
Medina, OH 44256-5396
Phone (330) 725-8449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706002935 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3971983115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Schween D.D.S., Brian Schmidt, D.M.D., & Jeremy Warn, D.D.S., Inc Oral and Maxillofacial Surgery PastSince Jul 15, 2004 Accepting new patients

Organizations & group practices 1

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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1376136879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 FOOTE RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565396",
            "telephone_number": "330-725-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 FOOTE RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565396",
            "telephone_number": "330-725-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROCKTON",
        "first_name": "PATRICK",
        "middle_name": "STEVEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-16",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.028355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.