Active NPI
Craig D Dreisbach, M.D.
- Orthopaedic Surgery Physician
- St Johnsbury, VT
National Provider Identifier
1912918889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 042-0007126
- Practice address
- 1315 Hospital Dr
St Johnsbury, VT 05819-9210 - Phone
- (802) 748-8141
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 042-0007126 | VT | Primary |
Addresses
Primary practice location
1315 Hospital Dr
St Johnsbury, VT 05819-9210
Mailing address
1315 Hospital Dr
PO Box 905
St Johnsbury, VT 05819-9210
Phone (802) 748-8141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006099 | Medicaid | VT |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0007126 | VT | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1912918889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 HOSPITAL DR",
"address_2": "PO BOX 905",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058199210",
"telephone_number": "802-748-8141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 HOSPITAL DR",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058199210",
"telephone_number": "802-748-8141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREISBACH",
"first_name": "CRAIG",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VT",
"license": "042-0007126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006099",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Johnsbury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.