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1154685030 NPI number — A. JAYSON TENGONCIANG, DMD, INC

NPI Number: 1154685030
Health Care Provider/Practitioner: A. JAYSON TENGONCIANG, DMD, INC

Information about “1154685030” NPI (A. JAYSON TENGONCIANG, DMD, INC) exists in 1154685030 in HTML format HTML  |  1154685030 in plain Text format TXT  |  1154685030 in PDF (Portable Document Format) PDF  |  1154685030 in an XML format XML  formats.

NPI Number : 1154685030 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154685030",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "A. JAYSON TENGONCIANG, DMD, 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": "4673 MALAYAN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN RAMON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94582-5822",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3762 CLAIREMONT DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92117-5916",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-230-6375",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/26/2012",
    "LastUpdateDate": "06/26/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TENGONCIANG",
    "AuthorizedOfficialFirstName": "ALAN",
    "AuthorizedOfficialMiddleName": "JAYSON",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.M.D.",
    "AuthorizedOfficialTelephoneNumber": "302-230-6375",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223E0200X",
        "TaxonomyName": "Endodontics",
        "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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