Organization Active NPI

Lawrence a Drake DDS LTD

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1548348915
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2788 Issued in NV
Legal business name
LAWRENCE A DRAKE DDS LTD
Practice address
3603 Las Vegas Blvd N
Ste #122
Las Vegas, NV 89115-0588
Phone
(702) 643-7720
Fax
(702) 643-0538
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lawrence Allen Drake, DDSNPI 1619055084
Title
President
Phone
(702) 643-7720

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
Dental Clinic/Center 261QD0000X 2788 NV Primary

Addresses

Primary practice location

3603 Las Vegas Blvd N
Ste #122
Las Vegas, NV 89115-0588

Mailing address

3603 Las Vegas Blvd N
Ste #122
Las Vegas, NV 89115-0588
Phone (702) 643-7720

National Provider Directory

National Provider Directory

Locations

3603 Las Vegas Blvd N
Ste 122
Las Vegas, NV 89115
Phone (702) 643-7720

Practitioners & affiliated clinicians

Practitioners 1

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548348915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 LAS VEGAS BLVD N",
            "address_2": "STE #122",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891150588",
            "telephone_number": "702-643-7720",
            "fax_number": "702-643-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 LAS VEGAS BLVD N",
            "address_2": "STE #122",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891150588",
            "telephone_number": "702-643-7720",
            "fax_number": "702-643-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE A DRAKE DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-643-7720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "2788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.