Jonathan M Drew DDS Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

JONATHAN M DREW DDS INC

Practice address

120 9TH St
Lakeport, CA 95453-4320

Phone

(707) 263-5390

NPI assigned

May 15, 2023

Last updated

May 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Michael Drew, DDSNPI 1447733407

Title

Owner

Phone

(408) 314-9870

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Michael Drew, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakeport, CA
  • NPI 1447733407
  NPD Authorized official
• Brian L Grey, D.D.S., M.S.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakeport, CA
  • NPI 1568632016
  NPD (past)

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1336830116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 9TH ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954534320",
            "telephone_number": "707-263-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 9TH ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954534320",
            "telephone_number": "707-263-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN M DREW DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-314-9870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick L Johnson, M.D.
• Helen Vernetta Johnson, M.D.
• Sharie Johnson
• Stacy Johnson
• Robert Charles Jolin, D.C.
• Jonathan W.R. Davies (Lake County Obstetrics and Gynecology)
• Cheryl Jo Jones-Murray, N.P.
• Patricia Ann Jones, M.F.T.
• James Roger Kahn, MD
• Joan Kammerer, RN.PHN

• Orthodontics and Dentofacial Orthopedics Dentistry in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.