Active NPI
Jeff L Drake, D.C.
- Chiropractor
- Wichita, KS
National Provider Identifier
1861411233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-03720
- Practice address
- 154 S Rock Rd
Wichita, KS 67207-1152 - Phone
- (316) 651-0156
- Fax
- (316) 684-2225
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-03720 | KS | Primary |
Addresses
Primary practice location
154 S Rock Rd
Wichita, KS 67207-1152
Mailing address
154 S Rock Rd
Wichita, KS 67207-1152
Phone (316) 651-0156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55866 | Other | KS | BCBS OF KS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01-03720 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1861411233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 S ROCK RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672071152",
"telephone_number": "316-651-0156",
"fax_number": "316-684-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 S ROCK RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672071152",
"telephone_number": "316-651-0156",
"fax_number": "316-684-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "JEFF",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-03720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KS",
"identifier": "55866",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.