NPIMap

Organization Active NPI

Dr.Thomas E. Drake

  • General Practice Dentistry
  • Madisonville, LA
National Provider Identifier
1386801298
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2638 Issued in LA
Legal business name
DR.THOMAS E. DRAKE
Practice address
1519 Highway 22 W
Suite #3
Madisonville, LA 70447-9489
Phone
(985) 792-0515
Fax
(985) 792-0517
NPI assigned
May 19, 2008
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Amanda Price
Title
Front Office
Phone
(985) 792-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2638 LA Primary

Addresses

Primary practice location

1519 Highway 22 W
Suite #3
Madisonville, LA 70447-9489

Mailing address

1519 Highway 22 W
Suite #3
Madisonville, LA 70447-9489
Phone (985) 792-0515

Other identifiers 1

IdentifierTypeStateIssuer
1880132MedicaidLA

National Provider Directory

National Provider Directory

Locations

1519 Highway 22 W
Ste 3
Madisonville, LA 70447
Phone (985) 792-0515

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1386801298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 HIGHWAY 22 W",
            "address_2": "SUITE #3",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479489",
            "telephone_number": "985-792-0515",
            "fax_number": "985-792-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 HIGHWAY 22 W",
            "address_2": "SUITE #3",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479489",
            "telephone_number": "985-792-0515",
            "fax_number": "985-792-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.THOMAS E. DRAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "985-792-0515"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1880132",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.