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1043597214 NPI number — CHRISTOPHER DRENNEN D.M.D.

NPI Number: 1043597214
Health Care Provider/Practitioner: CHRISTOPHER DRENNEN D.M.D.

Information about “1043597214” NPI (CHRISTOPHER DRENNEN D.M.D.) exists in 1043597214 in HTML format HTML  |  1043597214 in plain Text format TXT  |  1043597214 in PDF (Portable Document Format) PDF  |  1043597214 in an XML format XML  formats.

NPI Number : 1043597214 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043597214",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DRENNEN",
    "FirstName": "CHRISTOPHER",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9800 FALLS RD STE 104",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POTOMAC",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20854-3939",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "202-455-9009",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9800 FALLS RD STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POTOMAC",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20854-3939",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-299-1505",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/15/2011",
    "LastUpdateDate": "06/28/2023",
    "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": "1223P0300X",
          "TaxonomyName": "Periodontics",
          "LicenseNumber": "17254",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0300X",
          "TaxonomyName": "Periodontics",
          "LicenseNumber": "0401417114",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0300X",
          "TaxonomyName": "Periodontics",
          "LicenseNumber": "DN18461",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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