NPIMap

Organization Active NPI

Josh Drake DMD LLC

  • Dentist
  • Decatur, AL
National Provider Identifier
1427434802
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5470 Issued in AL
Legal business name
JOSH DRAKE DMD LLC
Practice address
1306 14TH Ave SE
Decatur, AL 35601-4346
Phone
(256) 350-5810
NPI assigned
Aug 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Authorized official

Name
Dr. Josh Drake, DMD
Title
Owner
Phone
(256) 350-5810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5470 AL Primary

Addresses

Primary practice location

1306 14TH Ave SE
Decatur, AL 35601-4346

Mailing address

1306 14TH Ave SE
Decatur, AL 35601-4346
Phone (256) 350-5810

National Provider Directory

National Provider Directory

Locations

1306 14th Ave SE
Decatur, AL 35601
Phone (256) 350-5810

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1427434802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 14TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014346",
            "telephone_number": "256-350-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 14TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014346",
            "telephone_number": "256-350-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSH DRAKE DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-350-5810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.