Individual provider Active NPI

Cody Drake, D.C.

  • Chiropractor
  • Issaquah, WA
National Provider Identifier
1740545433
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60300909 Issued in WA
Practice address
6220 E Lake Sammamish Pkwy SE Ste a
Issaquah, WA 98029-8925
Phone
(425) 761-0470
NPI assigned
Jul 9, 2012
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60300909 WA Primary

Addresses

Primary practice location

6220 E Lake Sammamish Pkwy SE Ste a
Issaquah, WA 98029-8925

Mailing address

6220 E Lake Sammamish Pkwy SE Ste a
Issaquah, WA 98029-8925

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
CH60300909WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spineworks,PLLC Chiropractor CurrentSince Mar 31, 2024 Accepting new patients
Chiro One Wellness Center of South Lake Union PLLC Chiropractor CurrentSince Oct 1, 2021 Accepting new patients

Locations

6220 E Lake Sammamish Pkwy SE
Ste A
Sammamish, WA 98029
Phone (425) 557-8787

235 Westlake Ave N
Seattle, WA 98109
Phone (206) 749-5253

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, 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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1740545433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 E LAKE SAMMAMISH PKWY SE STE A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 E LAKE SAMMAMISH PKWY SE STE A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298925",
            "telephone_number": "425-761-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60300909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.