NPI Code Detail JSON Logo

1114630449 NPI number — MAHASTY MAHOOTY RDHAP HEALTHY SMILES OF CALIFORNIA DENTAL HYGIENE, INC

NPI Number: 1114630449
Health Care Provider/Practitioner: MAHASTY MAHOOTY RDHAP HEALTHY SMILES OF CALIFORNIA DENTAL HYGIENE, INC

Information about “1114630449” NPI (MAHASTY MAHOOTY RDHAP HEALTHY SMILES OF CALIFORNIA DENTAL HYGIENE, INC) exists in 1114630449 in HTML format HTML  |  1114630449 in plain Text format TXT  |  1114630449 in PDF (Portable Document Format) PDF  |  1114630449 in an XML format XML  formats.

NPI Number : 1114630449 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114630449",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MAHASTY MAHOOTY RDHAP HEALTHY SMILES OF CALIFORNIA DENTAL HYGIENE, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2721 2ND ST APT 221",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA MONICA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90405-4140",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-291-7078",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2721 2ND ST APT 221",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA MONICA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90405-4140",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-291-7078",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/02/2023",
    "LastUpdateDate": "01/02/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MAHOOTY",
    "AuthorizedOfficialFirstName": "MAHASTY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RDHAP",
    "AuthorizedOfficialTelephoneNumber": "949-291-7078",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "124Q00000X",
        "TaxonomyName": "Dental Hygienist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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