NPIMap

Organization Active NPI

Drake Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sioux Falls, SD
National Provider Identifier
1790024768
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D0632 Issued in SD
Legal business name
DRAKE ORTHODONTICS
Practice address
5100 S Western Ave
Sioux Falls, SD 57108-2677
Phone
(605) 335-6665
Fax
(605) 332-5510
NPI assigned
Feb 11, 2013
Last updated
Feb 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Dr. Courtland Michael Drake, DDSNPI 1427362904
Title
Owner
Phone
(605) 335-6665

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D0632 SD Primary

Addresses

Primary practice location

5100 S Western Ave
Sioux Falls, SD 57108-2677

Mailing address

5100 S Western Ave
Sioux Falls, SD 57108-2677
Phone (605) 335-6665

National Provider Directory

National Provider Directory

Locations

5100 S Western Ave
Sioux Falls, SD 57108
Phone (605) 335-6665

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1790024768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082677",
            "telephone_number": "605-335-6665",
            "fax_number": "605-332-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082677",
            "telephone_number": "605-335-6665",
            "fax_number": "605-332-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAKE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "COURTLAND",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-335-6665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SD",
            "license": "D0632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.