Individual provider Active NPI

Laurence E. Drexler, D.M.D.

  • Public Health Dentistry
  • Albemarle, NC
National Provider Identifier
1861586984
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
1727 Issued in NC
Practice address
1000 N 1St St
Suite #3
Albemarle, NC 28001-2833
Phone
(704) 986-3845
Fax
(704) 986-3847
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 1727 NC Primary

Addresses

Primary practice location

1000 N 1St St
Suite #3
Albemarle, NC 28001-2833

Mailing address

7835 Woodmere Dr
Harrisburg, NC 28075-6682
Phone (704) 455-2706

Other identifiers 1

IdentifierTypeStateIssuer
902PMMedicaidNC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1727NCMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1861586984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7835 WOODMERE DR",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280756682",
            "telephone_number": "704-455-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N 1ST ST",
            "address_2": "SUITE #3",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280012833",
            "telephone_number": "704-986-3845",
            "fax_number": "704-986-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREXLER",
        "first_name": "LAURENCE",
        "middle_name": "E.",
        "name_prefix": "Miss",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NC",
            "license": "1727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "902PM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.