Individual provider Active NPI

Drake Preis, DC

  • Chiropractor
  • Auburn, CA
National Provider Identifier
1265154819
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36441 Issued in CA
Practice address
13136 Lincoln Way
Auburn, CA 95603-4114
Phone
(530) 885-8205
Fax
(530) 885-0303
NPI assigned
Sep 12, 2022
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36441 CA Primary

Addresses

Primary practice location

13136 Lincoln Way
Auburn, CA 95603-4114

Mailing address

13136 Lincoln Way
Auburn, CA 95603-4114
Phone (530) 885-8205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927002075 CA Practitioner - Chiropractic 2668858762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keith Smith Chiropractic Professional CorporationGroup PAC ID 0648310094, 2 clinicians

Practice addresses (Care Compare)

13136 Lincoln Way
Auburn, CA 95603-4114
Phone (530) 885-8205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Smith Chiropractic Professional Corporation Chiropractor CurrentSince Sep 12, 2022 Accepting new patients
Keith Smith Chiropractic Professional Corporation Chiropractor PastSince Sep 12, 2022 Accepting new patients

Locations

13136 Lincoln Way
Auburn, CA 95603
Phone (530) 885-8205

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1265154819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13136 LINCOLN WAY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034114",
            "telephone_number": "530-885-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13136 LINCOLN WAY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034114",
            "telephone_number": "530-885-8205",
            "fax_number": "530-885-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREIS",
        "first_name": "DRAKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.