NPI Code Detail JSON Logo

1184193807 NPI number — ERICK RICARDO GAITAN DC

NPI Number: 1184193807
Health Care Provider/Practitioner: ERICK RICARDO GAITAN DC

Information about “1184193807” NPI (ERICK RICARDO GAITAN DC) exists in 1184193807 in HTML format HTML  |  1184193807 in plain Text format TXT  |  1184193807 in PDF (Portable Document Format) PDF  |  1184193807 in an XML format XML  formats.

NPI Number : 1184193807 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184193807",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GAITAN",
    "FirstName": "ERICK",
    "MiddleName": "RICARDO",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6452 LAKE MEADOW DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BURKE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22015-3927",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-927-7002",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4123 CONNECTICUT AVE NW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WASHINGTON",
    "PracticeLocationAddressStateName": "DC",
    "PracticeLocationAddressPostalCode": "20008-1155",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "202-265-6000",
    "PracticeLocationAddressFaxNumber": "202-265-6018",
    "EnumerationDate": "11/26/2018",
    "LastUpdateDate": "11/26/2018",
    "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": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "0104557532",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "CH030194",
          "LicenseNumberStateCode": "DC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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