Organization Active NPI

Daniel B. Drysdale, MD, PC

  • Ophthalmology Physician
  • Blacksburg, VA
National Provider Identifier
1952631723
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101029249 Issued in VA
Legal business name
DANIEL B. DRYSDALE, MD, PC
Practice address
3645 S Main St
Blacksburg, VA 24060-7018
Phone
(540) 951-0525
Fax
(540) 953-1539
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Kasandra Y Saunders
Title
Manager
Phone
(540) 951-0525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 0101029249 VA Primary

Addresses

Primary practice location

3645 S Main St
Blacksburg, VA 24060-7018

Mailing address

3645 S Main St
Blacksburg, VA 24060-7018
Phone (540) 951-0525

Other identifiers 2

IdentifierTypeStateIssuer
064462OtherVAANTHEM
006374760MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1952631723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607018",
            "telephone_number": "540-951-0525",
            "fax_number": "540-953-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607018",
            "telephone_number": "540-951-0525",
            "fax_number": "540-953-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL B. DRYSDALE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "KASANDRA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "540-951-0525"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101029249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "064462",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006374760",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.