Organization Active NPI

Drake Chiropractic and Rehab

  • Chiropractor
  • Basehor, KS
National Provider Identifier
1093059057
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105479 Issued in KS
Legal business name
DRAKE CHIROPRACTIC AND REHAB
Practice address
1106 N 155TH St
Basehor, KS 66007-7100
Phone
(913) 708-0867
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Matthew R Drake, D.C.NPI 1942565064
Title
Owner
Phone
(913) 708-0867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0105479 KS Primary

Addresses

Primary practice location

1106 N 155TH St
Basehor, KS 66007-7100

Mailing address

22575 Tonganoxie Rd
Tonganoxie, KS 66086-4229
Phone (913) 708-0867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130115000448 KS Part B Supplier - Clinic/Group Practice 7214180611 Receives reassigned benefits from 2 practitioners
Practice locations: Basehor, KS

National Provider Directory

National Provider Directory

Locations

1106 N 155th St
#C
Basehor, KS 66007
Phone (913) 662-7071

1106 N 155th St
Basehor, KS 66007
Phone (913) 662-7071

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1093059057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22575 TONGANOXIE RD",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660864229",
            "telephone_number": "913-708-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N 155TH ST",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660077100",
            "telephone_number": "913-708-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAKE CHIROPRACTIC AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-708-0867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basehor, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.