Individual provider Active NPI

Richard Frank Druckman, D.D.S.

  • Prosthodontics
  • West Palm Beach, FL
National Provider Identifier
1992760607
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DE00007197 Issued in WA
Practice address
7305 North Military Trail
3A-200 West Palm Beach VA Medical Center Dental Clinic
West Palm Beach, FL 33410-6400
Phone
(561) 422-6576
Fax
(561) 422-8595
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 019-021543 IL
Prosthodontics 1223P0700X DE00007197 WA Primary

Addresses

Primary practice location

7305 North Military Trail
3A-200 West Palm Beach VA Medical Center Dental Clinic
West Palm Beach, FL 33410-6400

Mailing address

7305 North Military Trail
3A-200 West Palm Beach VA Medical Center Dental Clinic
West Palm Beach, FL 33410-6400
Phone (561) 422-5420

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
019-021543ILMDProsthodontist
DE00007197WAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1992760607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 NORTH MILITARY TRAIL",
            "address_2": "3A-200 WEST PALM BEACH VA MEDICAL CENTER DENTAL CLINIC",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106400",
            "telephone_number": "561-422-5420",
            "fax_number": "561-422-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 NORTH MILITARY TRAIL",
            "address_2": "3A-200 WEST PALM BEACH VA MEDICAL CENTER DENTAL CLINIC",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106400",
            "telephone_number": "561-422-6576",
            "fax_number": "561-422-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUCKMAN",
        "first_name": "RICHARD",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "019-021543",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE00007197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.