Active NPI
Cindy L Drake, D.D. S.
- General Practice Dentistry
- Bellevue, NE
National Provider Identifier
1336359363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- N5002
- Practice address
- 3811 Twin Creek Dr
# 103
Bellevue, NE 68123-4080 - Phone
- (402) 715-5775
- NPI assigned
- May 22, 2007
- Last updated
- Dec 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | N5002 | NE | Primary |
Addresses
Primary practice location
3811 Twin Creek Dr
# 103
Bellevue, NE 68123-4080
Mailing address
3811 Twin Creek Dr
# 103
Bellevue, NE 68123-4080
Phone (402) 715-5775
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
| License | State | Type | Specialty |
|---|---|---|---|
| N5002 | NE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Creek Dental, LLC | General Practice | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Bellevue, NE
- NPI 1023905270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197590400000",
"number": "1336359363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3811 TWIN CREEK DR",
"address_2": "# 103",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681234080",
"telephone_number": "402-715-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 TWIN CREEK DR",
"address_2": "# 103",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681234080",
"telephone_number": "402-715-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "CINDY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D. S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "N5002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.