NPI Code Detail JSON Logo

1144744533 NPI number — RYAN M TUINSTRA DDS

NPI Number: 1144744533
Health Care Provider/Practitioner: RYAN M TUINSTRA DDS

Information about “1144744533” NPI (RYAN M TUINSTRA DDS) exists in 1144744533 in HTML format HTML  |  1144744533 in plain Text format TXT  |  1144744533 in PDF (Portable Document Format) PDF  |  1144744533 in an XML format XML  formats.

NPI Number : 1144744533 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144744533",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TUINSTRA",
    "FirstName": "RYAN",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2912 N CREEKSIDE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLAGSTAFF",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86001-3805",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-241-9742",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "750 N KENDRICK ST STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FLAGSTAFF",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "86001-3067",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-774-2500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/28/2017",
    "LastUpdateDate": "07/28/2017",
    "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": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "D009814",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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