Mark Drake D.C. LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1904 Issued in OH

Legal business name

MARK DRAKE D.C. LLC

Practice address

1702 Hill Rd N
Pickerington, OH 43147-8880

Phone

(614) 861-0898

Fax

(614) 861-0899

NPI assigned

Apr 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mark Drake, D.C.

Title

President

Phone

(614) 861-0898

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1497012942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 COMMERCE PARK DR STE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828349",
            "telephone_number": "614-890-8653",
            "fax_number": "614-890-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478880",
            "telephone_number": "614-861-0898",
            "fax_number": "614-861-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DRAKE D.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-861-0898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Pickerington, OH
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• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.