NPIMap

Organization Active NPI

Drake Dental Care Professionals, LLC

  • Dentist
  • Fort Collins, CO
National Provider Identifier
1427441476
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6693 Issued in CO
Legal business name
DRAKE DENTAL CARE PROFESSIONALS, LLC
Practice address
140 Boardwalk Dr
Unit G
Fort Collins, CO 80525-3153
Phone
(970) 407-8080
Fax
(970) 221-3590
NPI assigned
Mar 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Dr. Richard Scott Wuerker, D,D,S,NPI 1356361604
Title
Owner
Phone
(970) 407-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6693 CO Primary

Addresses

Primary practice location

140 Boardwalk Dr
Unit G
Fort Collins, CO 80525-3153

Mailing address

140 Boardwalk Dr
Unit G
Fort Collins, CO 80525-3153
Phone (970) 407-8080

National Provider Directory

National Provider Directory

Locations

140 Boardwalk Dr
Unit G
Fort Collins, CO 80525
Phone (970) 407-8080

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1427441476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BOARDWALK DR",
            "address_2": "UNIT G",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253153",
            "telephone_number": "970-407-8080",
            "fax_number": "970-221-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BOARDWALK DR",
            "address_2": "UNIT G",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253153",
            "telephone_number": "970-407-8080",
            "fax_number": "970-221-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAKE DENTAL CARE PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "WUERKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-407-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,D,S,"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "6693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.