James Edgar Wayne Drake, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

038-010047 Issued in IL

Practice address

1860 S Bell School Rd
Cherry Valley, IL 61016-9372

Phone

(815) 580-8270

Fax

(815) 580-8278

NPI assigned

Jan 18, 2007

Last updated

Jun 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum Rehabilitation and Chiropractic, LTDGroup PAC ID 3072616549, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimum Rehabilitation and Chiropractic, LTD.

  • Physical Medicine & Rehabilitation Physician
  • Cherry Valley, IL
  • NPI 1629096417
  Medicare reassignment Care Compare group NPD Authorized official
• Drake Healthcare SC

  • Chiropractor
  • Rockford, IL
  • NPI 1427209535
  NPD Authorized official
• Dr. Mary White PC

  • Podiatrist
  • Rockford, IL
  • NPI 1174724520
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1083767727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 S BELL SCHOOL RD",
            "city": "CHERRY VALLEY",
            "state": "IL",
            "postal_code": "610169372",
            "telephone_number": "815-580-8270",
            "fax_number": "815-580-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 S BELL SCHOOL RD",
            "city": "CHERRY VALLEY",
            "state": "IL",
            "postal_code": "610169372",
            "telephone_number": "815-580-8270",
            "fax_number": "815-580-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "JAMES",
        "middle_name": "EDGAR WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038-010047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Ainsworth
• Align Therapeutic Massage and Personal Retreat
• Ba Dental Care
• Katherine Patricia Brauer, D.C.
• Cherry Valley Fire Protection District
• Patricia Dussair, PH.D.
• Robert Eichmann, M.D.
• Amy Marie Ericksen, D.T.
• Fares Alqara Inc
• Karen Gessner, LCSW

• Rehabilitation Chiropractor in Cherry Valley, IL
• Providers in Cherry Valley, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.