Matthew Benjamin Drake, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11815 Issued in NC

Practice address

118 Kendra Dr
Mooresville, NC 28117-5816

Phone

(704) 660-3540

NPI assigned

Jun 11, 2020

Last updated

Aug 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Alyssa and Matthew Drake DDS PLLC

  dba Drake Cosmetic and Family Dentistry

  • Dental Clinic/Center
  • Mooresville, NC
  • NPI 1386474245
  NPD Authorized official
• McConnell and McConnell DDS PA

  dba McConnell Family Dentistry

  • General Practice Dentistry
  • Mooresville, NC
  • NPI 1316013188
  NPD (past)

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1447875885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 RUNNINGDEER DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178160",
            "telephone_number": "304-553-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 KENDRA DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175816",
            "telephone_number": "704-660-3540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "649 N New Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280547424",
            "country_code": "US",
            "telephone_number": "772-742-7204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "MATTHEW",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Lynne Chiropractic, P.C.
• Dr. Mark Condron Young (Wellhaven Pastoral Counseling & Psychotherapy)
• Dr. Serena, PC
• Alyssa Drake, DDS
• Jennifer M Drake, ANP-BC
• Hoang H. Drouin, D.M.D.
• DRS Aghera, Patel and Associates PLLC (Langtree Dental Associates)
• DRS Groody and Reimels PLLC
• DRS Moshos and Reimels PLLC
• DRS Poore Robinson & Associates PA

• General Practice Dentistry in Mooresville, NC
• Providers in Mooresville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.