Individual provider Active NPI

Stephen Gary Drescher, DDS

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1942369459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10267 Issued in GA
Practice address
1201 Peachtree St NE
400 Colony Square, Suite 1515
Atlanta, GA 30361-6302
Phone
(404) 892-3545
Fax
(404) 875-0349
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10267 GA Primary

Addresses

Primary practice location

1201 Peachtree St NE
400 Colony Square, Suite 1515
Atlanta, GA 30361-6302

Mailing address

1201 Peachtree St. N.E.
400 Colony Square, Suite 1515
Atlanta, GA 30361-6302
Phone (404) 892-3545

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
10267GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stephan Gary Drescher DDS, PA General Practice Current Accepting new patients

Locations

1201 Peachtree St NE
Ste 1515
Atlanta, GA 30361
Phone (404) 892-3545

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942369459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PEACHTREE ST. N.E.",
            "address_2": "400 COLONY SQUARE, SUITE 1515",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303616302",
            "telephone_number": "404-892-3545",
            "fax_number": "404-875-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PEACHTREE ST NE",
            "address_2": "400 COLONY SQUARE, SUITE 1515",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303616302",
            "telephone_number": "404-892-3545",
            "fax_number": "404-875-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESCHER",
        "first_name": "STEPHEN",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.