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1013359603 NPI number — JOSEPH SADYKOV D.D.S.

NPI Number: 1013359603
Health Care Provider/Practitioner: JOSEPH SADYKOV D.D.S.

Information about “1013359603” NPI (JOSEPH SADYKOV D.D.S.) exists in 1013359603 in HTML format HTML  |  1013359603 in plain Text format TXT  |  1013359603 in PDF (Portable Document Format) PDF  |  1013359603 in an XML format XML  formats.

NPI Number : 1013359603 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013359603",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SADYKOV",
    "FirstName": "JOSEPH",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SADYKOV",
    "OtherFirstName": "IOSEF",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "D.D.S.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1545 E VILLA THERESA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85022-1282",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-468-8035",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1277 E MISSOURI AVE STE 202",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85014-2917",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "236-238-9348",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/23/2013",
    "LastUpdateDate": "10/03/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223E0200X",
        "TaxonomyName": "Endodontics",
        "LicenseNumber": "D009807",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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