Individual provider Active NPI

Christopher Michael Dress, M.D.

  • Plastic Surgery Physician
  • Fort Walton Beach, FL
National Provider Identifier
1962472142
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME 87448 Issued in FL
Practice address
11 Racetrack Rd NE
Ste E4
Fort Walton Beach, FL 32547-1867
Phone
(850) 659-7909
Fax
(850) 583-4875
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME 87448 FL Primary
Surgery Physician 208600000X MD0000031978 TN

Addresses

Primary practice location

11 Racetrack Rd NE
Ste E4
Fort Walton Beach, FL 32547-1867

Mailing address

11 Racetrack Rd NE
Ste E4
Fort Walton Beach, FL 32547-1867
Phone (850) 659-7909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180215001782 AL Practitioner - Plastic and Reconstructive Surgery 8426241712 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 87448FLMDPlastic Surgery Physician
MD0000031978TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Current Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Houston County Healthcare Authority CurrentSince Oct 3, 2017 Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1118 Ross Clark Cir
Ste 500
Dothan, AL 36301
Phone (334) 794-4159

1812 E Main St
Dothan, AL 36301
Phone (334) 793-6573

Organizations & group practices 3

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1962472142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RACETRACK RD NE",
            "address_2": "STE E4",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471867",
            "telephone_number": "850-659-7909",
            "fax_number": "850-583-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RACETRACK RD NE",
            "address_2": "STE E4",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471867",
            "telephone_number": "850-659-7909",
            "fax_number": "850-583-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME 87448",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD0000031978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.