Active NPI
Zachary Edward Drake, DMD
- General Practice Dentistry
- Helena, MT
National Provider Identifier
1023310729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN-DEN-LIC-22312
- Practice address
- 1930 9TH Ave
Helena, MT 59601-4759 - Phone
- (406) 533-5959
- NPI assigned
- Dec 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D-4292 | ID | |
| General Practice Dentistry | 1223G0001X | DEN-DEN-LIC-22312 | MT | Primary |
Addresses
Primary practice location
1930 9TH Ave
Helena, MT 59601-4759
Mailing address
8 North 2ND Street West
Homedale, ID 83628-3160
Phone (208) 337-6101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161118002337 | ID | Order and Referring Only - Other (Physician) | 4880973502 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-4292 | ID | MD | General Practice Dentistry |
| DEN-DEN-LIC-22312 | MT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pureview Health Center | Past | Accepting new patients | |
| Community Health Clinics, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Helena, MT
- NPI 1740390756
-
dba Terry Reilly Health Services
- Dental Clinic/Center
- Homedale, ID
- NPI 1487668240
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1023310729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 NORTH 2ND STREET WEST",
"city": "HOMEDALE",
"state": "ID",
"postal_code": "836283160",
"telephone_number": "208-337-6101",
"fax_number": "208-466-5359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 9TH AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596014759",
"telephone_number": "406-533-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "ZACHARY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-01",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D-4292",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "DEN-DEN-LIC-22312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.