Active NPI
Richard Druce, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Middletown, NY
National Provider Identifier
1821286378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 041058
- Practice address
- 419 E Main St
Suite 301
Middletown, NY 10940-2552 - Phone
- (845) 342-4334
- NPI assigned
- Oct 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 041058 | NY | Primary |
Addresses
Primary practice location
419 E Main St
Suite 301
Middletown, NY 10940-2552
Mailing address
419 E Main St
Suite 301
Middletown, NY 10940-2552
Phone (845) 342-4334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821118647 | Other | NY | RICHARD DRUCE D.D.S., P.A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151230000594 | NY | Order and Referring Only - Maxillofacial Surgery | 8123098829 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041058 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Druce, D.D.S., P.a. | Past | Accepting new patients | |
| Richard Druce, D.D.S., P.a. | Oral and Maxillofacial Surgery | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Middletown, NY
- NPI 1821118647
-
- Dentist
- Mahwah, NJ
- NPI 1124148853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1821286378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 E MAIN ST",
"address_2": "SUITE 301",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402552",
"telephone_number": "845-342-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 E MAIN ST",
"address_2": "SUITE 301",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402552",
"telephone_number": "845-342-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUCE",
"first_name": "RICHARD",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-10",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "041058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RICHARD DRUCE D.D.S., P.A",
"identifier": "1821118647",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.