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1174016414 NPI number — KRISTEN ARIEL ACKERMAN-LE DDS

NPI Number: 1174016414
Health Care Provider/Practitioner: KRISTEN ARIEL ACKERMAN-LE DDS

Information about “1174016414” NPI (KRISTEN ARIEL ACKERMAN-LE DDS) exists in 1174016414 in HTML format HTML  |  1174016414 in plain Text format TXT  |  1174016414 in PDF (Portable Document Format) PDF  |  1174016414 in an XML format XML  formats.

NPI Number : 1174016414 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174016414",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ACKERMAN-LE",
    "FirstName": "KRISTEN",
    "MiddleName": "ARIEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ACKERMAN",
    "OtherFirstName": "KRISTEN",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DDS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "23610 ORTENSIA ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RICHMOND",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77406-1587",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "979-575-5297",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5501 AVENUE I",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROSENBERG",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77471-6141",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-341-7733",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/12/2018",
    "LastUpdateDate": "04/25/2024",
    "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": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "34075",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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