David Edward Drake, DAVID DRAKE DMD,LTD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D5018277L Issued in PA

Practice address

759 Stouffer Ave
Chambersburg, PA 17201-2859

Phone

(717) 263-0442

Fax

(717) 263-7489

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Nina Lea Wile Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215158506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 STOUFFER AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012859",
            "telephone_number": "717-263-0442",
            "fax_number": "717-263-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 STOUFFER AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012859",
            "telephone_number": "717-263-0442",
            "fax_number": "717-263-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DAVID DRAKE DMD,LTD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "D5018277L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "WILE",
            "middle_name": "LEA",
            "prefix": "MRS.",
            "credential": "DAVID DRAKE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Donovan
• Doppler Diagnostics, Inc
• Charles Douglas
• Ian Patrick Downin, MD, MHA
• Jill Denise Doyle
• Ethan Drake, D.M.D.
• Eve Marie Drake, DMD
• Drayer Physical Therapy Institute LLC
• Barbara K Dromazos, RD, LDN
• Marianne Louise Droneburg, MPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.