Individual provider Active NPI

Richard Bradley Drake, D.D.S.

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1104987478
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
15907 Issued in TX
Practice address
14603 Huebner Rd BLDG 4
San Antonio, TX 78230-5473
Phone
(210) 541-9001
Fax
(210) 698-3845
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 15907 TX
Durable Medical Equipment & Medical Supplies 332B00000X 15907 TX Primary

Addresses

Primary practice location

14603 Huebner Rd BLDG 4
San Antonio, TX 78230-5473

Mailing address

14603 Huebner Rd BLDG 4
San Antonio, TX 78230-5473
Phone (210) 541-9001

Other practice location 1

1996 Schertz Pkwy Ste 304
Schertz, TX 78154-1677
Phone (121) 054-1900

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
15907TXMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Drakes Sleep Solutions Corporation Durable Medical Equipment & Medical Supplies CurrentSince Nov 1, 2018 Accepting new patients
Dr Drakes Sleep Solutions Corporation Oral & Maxillofacial Surgery Current Accepting new patients
Better Sleep in Boerne PLLC PastSince Sep 9, 2013 Accepting new patients

Locations

14603 Huebner Rd
Bldg 4
San Antonio, TX 78230
Phone (210) 541-9001

1996 Schertz Pkwy
Ste 304
Schertz, TX 78154
Phone (210) 541-9001

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1104987478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD BLDG 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305473",
            "telephone_number": "210-541-9001",
            "fax_number": "210-579-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD BLDG 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305473",
            "telephone_number": "210-541-9001",
            "fax_number": "210-698-3845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1996 Schertz Pkwy Ste 304",
            "address_purpose": "LOCATION",
            "city": "Schertz",
            "state": "TX",
            "postal_code": "781541677",
            "country_code": "US",
            "telephone_number": "121-054-1900",
            "fax_number": "210-579-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "RICHARD",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "15907",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "15907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.