NPI Code Detail JSON Logo

1215079660 NPI number — JOHN DARIEN RODGERS II MSW

NPI Number: 1215079660
Health Care Provider/Practitioner: JOHN DARIEN RODGERS II MSW

Information about “1215079660” NPI (JOHN DARIEN RODGERS II MSW) exists in 1215079660 in HTML format HTML  |  1215079660 in plain Text format TXT  |  1215079660 in PDF (Portable Document Format) PDF  |  1215079660 in an XML format XML  formats.

NPI Number : 1215079660 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215079660",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RODGERS",
    "FirstName": "JOHN",
    "MiddleName": "DARIEN",
    "NamePrefix": "MR.",
    "NameSuffix": "II",
    "Credential": "MSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9283 SHORE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILFORD",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19963-4605",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "200 FOSTER ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILFORD",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19963-1807",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-422-3113",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/13/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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