DEANNA NICOLE S DRAKE (NPI# 1558801928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558801928 |
| Entity Type | Individual |
| Full Name | DEANNA NICOLE S DRAKE |
| Practice Address |
2436 S Academy Blvd Colorado Springs CO 80916-2408 |
| Mailing Address |
2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 |
| Practice Telephone | 7193912336 |
| Practice Fax Number | 7193911625 |
| Mailing Telephone | 7195761850 |
| Mailing Fax Number | 7199553470 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DEN.00203739 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | CO DENTAL LICENSE | DEN.00203739 | 01 |
| CO | 1558801928 | 05 |
| Street Address |
2436 S ACADEMY BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80916-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114961653 | Ronald Montano | Dentist | 2436 S Academy Blvd, Colorado Springs, CO 80916-2408 | 2006-06-15 |
| 1598312555 | Ana Gabriela Andrade | Dentist | 2436 S Academy Blvd, Colorado Springs, CO 80916-2408 | 2019-08-23 |
| 1508413568 | Christian Ryan Egbert | Dentist | 2436 S Academy Blvd, Colorado Springs, CO 80916-2408 | 2019-08-23 |
| 1881158368 | Tathiana Rojas Lock | Dentist | 2436 S Academy Blvd, Colorado Springs, CO 80916-2408 | 2019-01-29 |
| 1730662784 | Silke Kristen Cummings | Dentist | 2436 S Academy Blvd, Colorado Springs, CO 80916-2408 | 2018-09-14 |
| 1861947327 | Sandra Noemi Pinon | Optometrist | 2436 S Academy Blvd, Colorado Springs, CO 80916-2408 | 2016-08-24 |
| 1003266164 | Yasufumi Yamazaki | Dentist | 2436 S Academy Blvd, Colorado Springs, CO 80916-2408 | 2016-06-20 |
| 1538518592 | Kristen Frazier | Dentist | 2436 S Academy Blvd, Colorado Springs, CO 80916-2408 | 2016-06-09 |
| 1841659372 | Ala Yassin | Dentist | 2436 S Academy Blvd, Colorado Springs, CO 80916-2408 | 2016-02-11 |
| 1265890768 | Maryhen Yohiska Arrieta | Dentist | 2436 S Academy Blvd, Colorado Springs, CO 80916-2408 | 2016-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742022 | Andrea Corrie Akins | Counselor | 2060 Jet Wing Drive, Colorado Springs, CO 80916 | 2019-04-04 |
| 1538687454 | Loma Randie Haak | Doula | 2160 Bruno Cir, Colorado Springs, CO 80916 | 2017-08-30 |
| 1013463868 | Statewide Healthcare LLC | In Home Supportive Care | 2130 S. Academy Blvd., #103, Colorado Springs, CO 80916 | 2016-08-31 |
| 1437573557 | Carla Jackson | Contractor | 3410 Cochran Dr # C, Colorado Springs, CO 80916 | 2014-02-10 |
| 1346385986 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 2322 S. Academy Blvd., Colorado Springs, CO 80916 | 2007-02-21 |
| 1457379893 | Charlene Kay Czarnecki | Nurse Practitioner | 3029 So Academy Blvd, Colorodo Springs, CO 80916 | 2006-07-17 |
| 1952337206 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 2910 S Academy Blvd, Colorado Springs, CO 80916 | 2006-06-25 |
| 1629599758 | Amanda M Bernheim | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916 | 2017-06-28 |
| 1710366166 | Cassandra Bright | Dental Hygienist | 5925 Lehman Dr, Colorado Springs, CO 80916 | 2015-05-19 |
| 1992042626 | Erica Palmer | Psychologist | 1795 Jet Wing Dr, Colorado Springs, CO 80916 | 2013-01-15 |
| Find all providers in zip 80916 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979375 | Kyle Richardson | Dentist | 5865 Lehman Dr Ste 200, Colorado Springs, CO 80918-3412 | 2020-10-14 |
| 1740751460 | Audubon Dental Sleep Solutions LLC | Dentist | 2960 N Circle Dr Ste 105, Colorado Springs, CO 80909-1163 | 2018-12-06 |
| 1053898437 | Lorraine Julienne Labayen | Dentist | 7795 Dublin Blvd, Colorado Springs, CO 80923-7592 | 2018-07-27 |
| 1780178442 | Denise Ivonne Clare | Dentist | 4451 Venetucci Blvd Unit 160, Colorado Springs, CO 80906-4056 | 2018-06-17 |
| 1780185462 | Kenneth C. Pollary Dds Pllc | Dentist | 3204 N Academy Blvd Ste 210, Colorado Springs, CO 80917-5163 | 2018-02-27 |
| 1881119220 | Egbert and Stilson Dental Pllc | Dentist | 9235 N Union Blvd Ste 170, Colorado Springs, CO 80920-7833 | 2017-08-07 |
| 1942752837 | Robert Kemp Van Wagenen | Dentist | 5944 Huerfano Dr, Colorado Springs, CO 80923-3437 | 2016-10-26 |
| 1477005494 | Preferred Dental | Dentist | 5752 Palmer Park Blvd, Colorado Springs, CO 80915-1511 | 2016-10-25 |
| 1306396551 | Rota Advanced Dental Care | Dentist | 6210 Woodmen Park Vw, Colorado Springs, CO 80923-2616 | 2016-10-12 |
| 1891248506 | Nicholas Allan Wyatt | Dentist | 685 Citadel Dr E Ste 302, Colorado Springs, CO 80909-5316 | 2016-07-28 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80916 |
Please comment or provide details below to improve the information on DEANNA NICOLE S DRAKE.
| 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.