NPIMap

Organization Active NPI

Gary L. Drury, DDS, P.C.

  • Dental Clinic/Center
  • Elkhart, IN
National Provider Identifier
1871699082
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54000959A Issued in IN
Legal business name
GARY L. DRURY, DDS, P.C.
Practice address
810 W Bristol St
Suite Abc-1
Elkhart, IN 46514-2954
Phone
(574) 264-9015
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary L Drury, DDSNPI 1760499255
Title
President
Phone
(574) 264-9015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 54000959A IN Primary

Addresses

Primary practice location

810 W Bristol St
Suite Abc-1
Elkhart, IN 46514-2954

Mailing address

810 W Bristol St
Suite Abc-1
Elkhart, IN 46514-2954

National Provider Directory

National Provider Directory

Locations

810 W Bristol St
Ste ABC1
Elkhart, IN 46514
Phone (574) 264-9015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871699082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W BRISTOL ST",
            "address_2": "SUITE ABC-1",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W BRISTOL ST",
            "address_2": "SUITE ABC-1",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142954",
            "telephone_number": "574-264-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. DRURY, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRURY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-264-9015",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "54000959A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.