Organization Active NPI

Richard Michael Dreize MD PL

  • Psychiatry Physician
  • Doral, FL
National Provider Identifier
1558633941
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME100712 Issued in FL
Legal business name
RICHARD MICHAEL DREIZE MD PL
Practice address
4005 NW 114TH Ave
Ste 3
Doral, FL 33178-4374
Phone
(786) 303-1970
Fax
(786) 369-1970
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Richard M Dreize, MD
Title
Owner
Phone
(786) 303-1970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME100712 FL Primary

Addresses

Primary practice location

4005 NW 114TH Ave
Ste 3
Doral, FL 33178-4374

Mailing address

PO Box 661057
Miami Springs, FL 33266-1057
Phone (786) 303-1970

National Provider Directory

National Provider Directory

Locations

4545 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 229-1235

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1558633941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661057",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "332661057",
            "telephone_number": "786-303-1970",
            "fax_number": "786-369-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 NW 114TH AVE",
            "address_2": "STE 3",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784374",
            "telephone_number": "786-303-1970",
            "fax_number": "786-369-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD MICHAEL DREIZE MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "DREIZE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-303-1970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME100712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.