Dennis L. Drake, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-003219 Issued in IL

Practice address

248 S Jacksonville St
White Hall, IL 62092-1085

Phone

(217) 374-2369

Fax

(217) 374-2369

NPI assigned

Mar 8, 2007

Last updated

Jul 9, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326179334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 S JACKSONVILLE ST",
            "city": "WHITE HALL",
            "state": "IL",
            "postal_code": "620921085",
            "telephone_number": "217-374-2369",
            "fax_number": "217-374-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 S JACKSONVILLE ST",
            "city": "WHITE HALL",
            "state": "IL",
            "postal_code": "620921085",
            "telephone_number": "217-374-2369",
            "fax_number": "217-374-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "DENNIS",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-003219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ann Catherine Dunphy, LSW, SSW, MSW
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• Ashley Graham, COTA/L
• Amy Lynn Heitzig, PTA
• Sherdel Janssen, CNP,RN

• Chiropractor in White Hall, IL
• Providers in White Hall, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.