DR. JASON MATTHEW DRAKE (NPI# 1346384518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346384518 |
| Entity Type | Individual |
| Full Name | DR. JASON MATTHEW DRAKE |
| Credential | D.C. |
| Practice Address |
3301 13th Ave S Fargo ND 58103-6303 |
| Practice Telephone | 7012340057 |
| Practice Fax Number | 7012340042 |
| Mailing Telephone | 7012340057 |
| Mailing Fax Number | 7012340042 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 721 | ND | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173710 | Jason Drake | Case Manager/Care Coordinator | 11101 N 119th East Ave, Owasso, OK 74055-3709 | 2017-09-20 |
| 1326375056 | Jason Drake | Massage Therapist | 745 Rainier Blvd N, Apt 4, Issaquah, WA 98027-2477 | 2009-11-18 |
| 1629137088 | Jason Eugene Drake | Chiropractor | 8283 N Owasso Expy, Suite B, Owasso, OK 74055-3634 | 2006-12-08 |
| 1053363259 | Jason Drake | Social Worker | 633 E Fernhurst Dr Ste 302, Katy, TX 77450-1586 | 2006-05-16 |
| Street Address |
3301 13TH AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013280304 | Ashley Marie Breitzman | Massage Therapist | 3301 13th Ave S, Suite 103, Fargo, ND 58103-6303 | 2012-02-16 |
| 1689966426 | Haug Chiropractic, PC | Chiropractor | 3301 13th Ave S, Fargo, ND 58103-6303 | 2011-05-12 |
| 1316265549 | Jason M Drake Dc PC | Chiropractor | 3301 13th Ave S, Fargo, ND 58103-6303 | 2010-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374322 | Annie Caitlyn Fitzell | Chiropractor | 3501 30th Ave S Apt 2, Fargo, ND 58103-6243 | 2020-10-23 |
| 1912514662 | Megan Ann Sayler | Chiropractor | 5050 Timber Pkwy S Unit 120, Fargo, ND 58104-4811 | 2020-09-28 |
| 1508329053 | Clarity Brain Center LLC | Chiropractor | 3029 Brandt Dr S Ste A, Fargo, ND 58104-9140 | 2019-04-11 |
| 1366911026 | Myles James Brooks | Chiropractor | 1383 21st Ave N Ste A, Fargo, ND 58102-1841 | 2018-11-24 |
| 1215432125 | One Light Chiropractic Ltd | Chiropractor | 1650 45th St S Ste 204, Fargo, ND 58103-3247 | 2018-03-25 |
| 1538676853 | Whitney Marie Sundheim Robers | Chiropractor | 1555 43rd St S Ste 107, Fargo, ND 58103-3314 | 2018-01-08 |
| 1619482130 | Christopher Pischel | Chiropractor | 3361 45th St S Ste 108, Fargo, ND 58104-8988 | 2017-12-06 |
| 1730601774 | Chase Michael Enget | Chiropractor | 4501 15th Ave S Ste 104, Fargo, ND 58103-8956 | 2017-07-12 |
| 1720529126 | Dakota Clinic of Chiropractic, Pllc | Chiropractor | 5670 38th Avenue S Suite B, Fargo, ND 58104 | 2017-03-17 |
| 1831633106 | Seth Bradley Lunneborg | Chiropractor | 3260 20th St S Ste A, Fargo, ND 58104-5924 | 2016-12-06 |
| Find all providers in FARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.