David E Drake DO PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

02908 Issued in IA

Legal business name

DAVID E DRAKE DO PC

Practice address

1221 Center
#3
Des Moines, IA 50309-1014

Phone

(515) 288-8000

Fax

(515) 288-4073

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David E Drake, DO

Title

Pres Owner

Phone

(515) 288-8000

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1154481273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 CENTER",
            "address_2": "#3",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091014",
            "telephone_number": "515-288-8000",
            "fax_number": "515-288-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E DRAKE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES OWNER",
        "authorized_official_telephone_number": "515-288-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "02908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "1154481273",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154481273",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DP1972",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2121004",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack Adam Davenport, CRNA
• Thomas R Davey
• Erin Pazaski Davick, MD
• Stephen Davick, MD
• David a. Yount DPM, PC
• Anna S Davidson
• Beth Noelle Davidson, M.D.
• Hayley Reid Davidson
• Jamie M Davidson
• Kristoffer T Davidson, DO

• Psychiatry Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Psychiatry Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.