Individual provider Active NPI

David R Driesbach, DO

  • Family Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1760405468
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS00006995 Issued in FL
Practice address
643 Cape Coral Pkwy E
Suite F
Cape Coral, FL 33904-8549
Phone
(239) 540-4500
Fax
(239) 540-1952
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS00006995 FL Primary

Addresses

Primary practice location

643 Cape Coral Pkwy E
Suite F
Cape Coral, FL 33904-8549

Mailing address

5106 Kensington High St
Naples, FL 34105-5648
Phone (941) 213-0094

Other identifiers 4

IdentifierTypeStateIssuer
192325OtherFLSTAYWELL HEALTHYKIDS
1188691OtherFLCIGNA HMO
57245OtherFLBCBS PROVIDER NUMBER
OS00006995OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS00006995FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David R Driesbach DO Family Medicine PastSince Jun 1, 2000 Accepting new patients
Eric D. Rosenkrantz M.D. PA Past Accepting new patients

Organizations & group practices 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760405468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 KENSINGTON HIGH ST",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341055648",
            "telephone_number": "941-213-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 CAPE CORAL PKWY E",
            "address_2": "SUITE F",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048549",
            "telephone_number": "239-540-4500",
            "fax_number": "239-540-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIESBACH",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS00006995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL HEALTHYKIDS",
            "identifier": "192325",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "1188691",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "57245",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS00006995",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.