NPI Code Detail JSON Logo

1124232558 NPI number — PAULA K COFFEE DDS

NPI Number: 1124232558
Health Care Provider/Practitioner: PAULA K COFFEE DDS

Information about “1124232558” NPI (PAULA K COFFEE DDS) exists in 1124232558 in HTML format HTML  |  1124232558 in plain Text format TXT  |  1124232558 in PDF (Portable Document Format) PDF  |  1124232558 in an XML format XML  formats.

NPI Number : 1124232558 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124232558",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COFFEE",
    "FirstName": "PAULA",
    "MiddleName": "K",
    "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": "9553 E CHENANGO AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENWOOD VILLAGE",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80111-1325",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-721-4580",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11031 S PIKES PEAK DR",
    "SecondLinePracticeLocationAddress": "STE. 103",
    "PracticeLocationAddressCityName": "PARKER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80138-7389",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "393-841-4580",
    "PracticeLocationAddressFaxNumber": "303-841-7765",
    "EnumerationDate": "05/09/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "105608",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.