Active NPI
Charles William Drexler, D.D.S.
- Dentist
- Tampa, FL
National Provider Identifier
1881032993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25613
- Practice address
- 4315 Henderson Blvd
Tampa, FL 33629-5612 - Phone
- (813) 358-7110
- NPI assigned
- Jun 11, 2013
- Last updated
- Oct 26, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25613 | FL | |
| Dentist | 122300000X | 25613 | FL | Primary |
| Dentist | 122300000X | 28904 | TX |
Addresses
Primary practice location
4315 Henderson Blvd
Tampa, FL 33629-5612
Mailing address
7500 21St St N
Saint Petersburg, FL 33702-4820
Phone (972) 213-5446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181127000440 | MN | Order and Referring Only - Dentist | 5698029973 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25613 | FL | MD | Dentist |
| 28904 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drexler Dentistry, PLLC | General Practice | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1881032993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 21ST ST N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337024820",
"telephone_number": "972-213-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 HENDERSON BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336295612",
"telephone_number": "813-358-7110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREXLER",
"first_name": "CHARLES",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-11",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "25613",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "25613",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28904",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.