Drew Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DREW DENTAL CORP

Practice address

783 Rio del Mar Blvd
Aptos, CA 95003-4771

Phone

(408) 688-6060

Fax

(408) 688-4312

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jason Drew, DDSNPI 1578713475

Title

President

Phone

(408) 355-5023

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: info@drewdental.com

Practitioners 1

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

• Jason Kane Drew, D.D.S.

  • Dentist
  • Aptos, CA
  • NPI 1578713475
  NPD Authorized official

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1952029928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 RIO DEL MAR BLVD",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034771",
            "telephone_number": "408-355-5023",
            "fax_number": "408-688-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 RIO DEL MAR BLVD",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034771",
            "telephone_number": "408-688-6060",
            "fax_number": "408-688-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-355-5023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235439258",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578713475",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@drewdental.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "783 Rio Del Mar Blvd",
            "city": "Aptos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950034771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Doris Mary Donoghue, M.D.
• Lisa Dopfel, M.A., CCC-SLP
• Mary K Dowling, FNP
• Dr. Ali Heidari & Dr. Ramin Moradi, D.D.S., Inc, P.C.
• Dr. Danae Lane Otd Corp.
• Allyson Staahl Drew, D.D.S.
• Jason Kane Drew, D.D.S.
• Cassandra Maureen Duca Lechler
• Patricia Duca, RN, PHN, BSN
• Patricia Dawn Dudley

• Dentist in Aptos, CA
• Providers in Aptos, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.