Individual provider Active NPI

Benjamin David Drechsler, DMD

  • General Practice Dentistry
  • Greer, SC
National Provider Identifier
1700125648
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8203 Issued in SC
Practice address
1109 W Poinsett St
Suite a
Greer, SC 29650-1318
Phone
(803) 627-5245
NPI assigned
Feb 13, 2013
Last updated
Mar 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8203 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1109 W Poinsett St
Suite a
Greer, SC 29650-1318

Mailing address

1109 W Poinsett St
Suite a
Greer, SC 29650-1318
Phone (803) 627-5245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20160404002283 SC Order and Referring Only - DentistPractitioner - Dentist 9335446467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8203SCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1700125648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W POINSETT ST",
            "address_2": "SUITE A",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501318",
            "telephone_number": "803-627-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W POINSETT ST",
            "address_2": "SUITE A",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501318",
            "telephone_number": "803-627-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRECHSLER",
        "first_name": "BENJAMIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-13",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8203",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.