Organization Active NPI

Thomas a Drake DDS PA

  • General Practice Dentistry
  • Bonner Springs, KS
National Provider Identifier
1124514526
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THOMAS A DRAKE DDS PA
Doing business as
Drake Family Dentistry
Practice address
140 N 130TH St
Bonner Springs, KS 66012-9142
Phone
(913) 325-0120
NPI assigned
Jul 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Thomas DrakeNPI 1205852944
Title
Dentist
Phone
(913) 325-0120

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

140 N 130TH St
Bonner Springs, KS 66012-9142

Mailing address

140 N 130TH St
Bonner Springs, KS 66012-9142
Phone (913) 325-0120

Other names 1

  • Drake Family Dentistry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181009000339 KS DME Supplier - Oral Surgery - Dentist 3173875804 Practice locations: Bonner Springs, KS

National Provider Directory

National Provider Directory

Locations

140 N 130th St
Ste B
Bonner Springs, KS 66012
Phone (913) 325-0120

Practitioners & affiliated clinicians

Practitioners 1

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": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1124514526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N 130TH ST",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "660129142",
            "telephone_number": "913-325-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N 130TH ST",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "660129142",
            "telephone_number": "913-325-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A DRAKE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "913-325-0120"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drake Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonner Springs, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.