Active NPI
Mark Alan Drake, DC
- Chiropractor
- Pickerington, OH
National Provider Identifier
1225107709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1904
- Practice address
- 1702 Hill Rd. N.
Pickerington, OH 43147 - Phone
- (614) 861-0898
- Fax
- (614) 861-0899
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 117 | OH | |
| Chiropractor | 111N00000X | 1904 | OH | Primary |
Addresses
Primary practice location
1702 Hill Rd. N.
Pickerington, OH 43147
Mailing address
PO Box 550
Pickerington, OH 43147
Phone (614) 861-0898
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2480686 | Medicaid | OH | |
| 000000322345 | Other | OH | BLUE CROSS AND BLUE SHIEL |
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 |
|---|---|---|---|
| 117 | OH | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patricia a. Richards | Chiropractor | Current | Accepting new patients |
Locations
1702 Hill Rd N
Pickerington, OH 43147
Phone (614) 407-1881
121 Commerce Park Dr
Westerville, OH 43082
Organizations & group practices 1
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": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1225107709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "43147",
"telephone_number": "614-861-0898",
"fax_number": "614-861-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 HILL RD. N.",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "43147",
"telephone_number": "614-861-0898",
"fax_number": "614-861-0899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "MARK",
"middle_name": "ALAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OH",
"license": "117",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2480686",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "000000322345",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.