Zachary Michael Dreaden, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0102204053 Issued in VA

Practice address

49 MDG
280 David L. Goldfein Street, BLDG 23
Holloman AFB, NM 88330

Phone

(575) 572-0551

NPI assigned

May 31, 2013

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Floridian Hospitalist Services, LLC

  • Hospitalist Physician
  • Melbourne, FL
  • NPI 1831530385
  Medicare reassignment NPD

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1437596475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 MDG",
            "address_2": "280 DAVID L. GOLDFEIN STREET, BLDG 23",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "88330",
            "telephone_number": "575-572-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 MDG",
            "address_2": "280 DAVID L. GOLDFEIN STREET, BLDG 23",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "88330",
            "telephone_number": "575-572-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREADEN",
        "first_name": "ZACHARY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-31",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102204053",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102204053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebastian Alejandro Cruz
• Shirley Dakin, RD,CDE
• Courtney Davis
• Gensah Daye-Smith
• Stephanie Doane, NP
• Brennan Drewry
• Jessica L Duby, LMSW
• Ashley Duray, M.D.
• Sarah Durgam
• Joe Calvin Durham II, IDMT

• General Practice Physician in Holloman AFB, NM
• Providers in Holloman AFB, NM by specialty
• General Practice Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.