Individual provider Active NPI

Joshua Seth Drake, L.AC

  • Acupuncturist
  • Boulder, CO
National Provider Identifier
1215280169
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1818 Issued in CO
Practice address
5353 Manhattan Cir Ste 104
Boulder, CO 80303-4298
Phone
(303) 648-4066
NPI assigned
Oct 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1818 CO Primary

Addresses

Primary practice location

5353 Manhattan Cir Ste 104
Boulder, CO 80303-4298

Mailing address

4244 Redwood PL
Boulder, CO 80301-1639
Phone (720) 402-8192

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1818COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Acupuncture and Chinese Medicine LLC Current Accepting new patients
Twelve Branches Health LLC Acupuncturist Past Accepting new patients

Organizations & group practices 2

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1215280169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4244 REDWOOD PL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011639",
            "telephone_number": "720-402-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 MANHATTAN CIR STE 104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034298",
            "telephone_number": "303-648-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "JOSHUA",
        "middle_name": "SETH",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.