Joe Drake DDS a Professional Assoctiation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8482 Issued in NC

Legal business name

JOE DRAKE DDS A PROFESSIONAL ASSOCTIATION

Doing business as

Drake Dentistry of Charlotte

Practice address

1716 Kenilworth Ave Ste 180
Charlotte, NC 28203-6086

Phone

(704) 338-9797

Fax

(704) 379-7972

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joe Richard Drake, DDSNPI 1912190596

Title

President

Phone

(704) 338-9797

Specialties & licenses 1

Addresses

Other names 1

• Drake Dentistry of Charlotte Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joe Richard Drake, D.D.S.

  • General Practice Dentistry
  • Exmore, VA
  • NPI 1912190596
  NPD (past) Authorized official

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1659527505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 KENILWORTH AVE STE 180",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036086",
            "telephone_number": "704-338-9797",
            "fax_number": "704-379-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 KENILWORTH AVE STE 180",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036086",
            "telephone_number": "704-338-9797",
            "fax_number": "704-379-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE DRAKE DDS A PROFESSIONAL ASSOCTIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-338-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drake Dentistry of Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JNJ Homes
• Joan P. Diehl, DMD, PA
• Joannes Helping Hands Homecare Service
• Brittan Jobe, RN
• Hannah Rose Jochem, MS, CGC
• Joe H. Camp, DDS, PA
• Joe L. Mason, Jr., DMD, PA
• Edwina Joe
• Randall Robert Joe, MD
• Asha Joell

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, 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 Apr 28, 2011; 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.