Individual provider Active NPI

Katherine Drake, D.C.

  • Chiropractor
  • Roseville, CA
National Provider Identifier
1629388954
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-31667 Issued in CA
Practice address
755 Sunrise Ave
Ste 115
Roseville, CA 95661-4500
Phone
(916) 786-6055
Fax
(916) 786-6452
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-31667 CA Primary

Addresses

Primary practice location

755 Sunrise Ave
Ste 115
Roseville, CA 95661-4500

Mailing address

755 Sunrise Ave
Ste 115
Roseville, CA 95661-4500
Phone (858) 232-3463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-31667CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Roseville Birthing Center Past Accepting new patients
Russell and Ross Chiropractic Centre Chiropractor PastSince Jan 23, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1629388954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 SUNRISE AVE",
            "address_2": "STE 115",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614500",
            "telephone_number": "858-232-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 SUNRISE AVE",
            "address_2": "STE 115",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614500",
            "telephone_number": "916-786-6055",
            "fax_number": "916-786-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.