Elaine Carlson Drake, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

19017128 Issued in IL

Practice address

515 Pearl Street
Belvidere, IL 61008

Phone

(815) 547-8112

Fax

(815) 544-5480

NPI assigned

Mar 27, 2008

Last updated

Mar 27, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Drake LTD

  • Dentist
  • Belvidere, IL
  • NPI 1316007859
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1225200579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PEARL STREET",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "61008",
            "telephone_number": "815-547-8112",
            "fax_number": "815-544-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PEARL STREET",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "61008",
            "telephone_number": "815-547-8112",
            "fax_number": "815-544-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "ELAINE",
        "middle_name": "CARLSON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "19017128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Tram DO, PHARMD
• Mohammad Ismail Dogar, D.M.D
• Donohoo Pharmacy Inc. (O'Brien & Dobbins Pharmacy)
• Dr. James Chapko D.D.S., P.C.
• Dale Addison Drake, DENTIST DDS
• DRS Drake LTD
• Robert Dyer, D.C.
• Megan Edge, FNP
• Hunter James Eichenberger, DPT
• Sabrina Elder, DPT

• Dentist in Belvidere, IL
• Providers in Belvidere, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.