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1043466378 NPI number — JULIO E CHINCHILLA DDS

NPI Number: 1043466378
Health Care Provider/Practitioner: JULIO E CHINCHILLA DDS

Information about “1043466378” NPI (JULIO E CHINCHILLA DDS) exists in 1043466378 in HTML format HTML  |  1043466378 in plain Text format TXT  |  1043466378 in PDF (Portable Document Format) PDF  |  1043466378 in an XML format XML  formats.

NPI Number : 1043466378 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043466378",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHINCHILLA",
    "FirstName": "JULIO",
    "MiddleName": "E",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "195 14TH ST NE UNIT 2401",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30309-2678",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-740-6849",
    "MailingAddressFaxNumber": "754-323-4385",
    "FirstLinePracticeLocationAddress": "16810 MERIDIAN E STE J107",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PUYALLUP",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98375-9604",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-848-7777",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/18/2008",
    "LastUpdateDate": "08/31/2023",
    "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": "12207",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223E0200X",
          "TaxonomyName": "Endodontics",
          "LicenseNumber": "DN014100",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223E0200X",
          "TaxonomyName": "Endodontics",
          "LicenseNumber": "DE61453479",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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