Individual provider Active NPI

Jon Anthony Drake, D.C.

  • Chiropractor
  • Terre Haute, IN
National Provider Identifier
1598794083
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001892A Issued in IN
Practice address
3498 S 4TH St
Terre Haute, IN 47802-4168
Phone
(812) 298-9800
Fax
(812) 298-9000
NPI assigned
Jun 30, 2006
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001892A IN Primary

Addresses

Primary practice location

3498 S 4TH St
Terre Haute, IN 47802-4168

Mailing address

3498 S 4TH St
Terre Haute, IN 47802-4168
Phone (812) 298-9800

Other practice location 1

5101 S US Highway 41
Terre Haute, IN 47802-4790
Phone (812) 298-9800

Other identifiers 5

IdentifierTypeStateIssuer
651955OtherINACN/UNITED HEALTH
7343358OtherINAETNA
200299580MedicaidIN
000000385978OtherINANTHEM
10780544OtherINCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040827001025 IN Practitioner - Chiropractic 7517932072 Reassigns benefits to 1 organization
I20260603000761 FL Practitioner - Chiropractic 7517932072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
May accept Medicare assignment
Group practices
FHP IncGroup PAC ID 9335163906, 2 clinicians

Practice addresses (Care Compare)

3498 S 4TH St
Terre Haute, IN 47802-4168
Phone (812) 298-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic of Naples, Inc Chiropractor Current Accepting new patients
FHP, Inc Chiropractor CurrentSince Oct 25, 2005 Accepting new patients
Healthfirst 003 LLC Chiropractor PastSince Sep 29, 2006 Accepting new patients
Chiro Link Unlimited Chiropractor Past Accepting new patients

Locations

3498 S 4th St
Terre Haute, IN 47802
Phone (812) 298-9800

5101 S US Highway 41
Terre Haute, IN 47802
Phone (812) 298-9800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1598794083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3498 S 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024168",
            "telephone_number": "812-298-9800",
            "fax_number": "812-298-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3498 S 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024168",
            "telephone_number": "812-298-9800",
            "fax_number": "812-298-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5101 S US Highway 41",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478024790",
            "country_code": "US",
            "telephone_number": "812-298-9800",
            "fax_number": "812-298-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "JON",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001892A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN/UNITED HEALTH",
            "identifier": "651955",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7343358",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200299580",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000385978",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10780544",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.