Active NPI
Richard Bradley Drake, D.D.S.
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
National Provider Identifier
1104987478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 15907
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15907 | TX | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Drakes Sleep Solutions Corporation | Durable Medical Equipment & Medical Supplies | Current | Accepting new patients |
| Dr Drakes Sleep Solutions Corporation | Oral & Maxillofacial Surgery | Current | Accepting new patients |
| Better Sleep in Boerne PLLC | Past | 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.
-
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
- NPI 1295290823
Oral & Maxillofacial Surgery
-
- Durable Medical Equipment & Medical Supplies
- Schertz, TX
- NPI 1346963071
-
- Dentist
- Boerne, TX
- NPI 1629310917
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.