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1215129424 NPI number — KHAI QUANG TRAN NGUYEN DDS

NPI Number: 1215129424
Health Care Provider/Practitioner: KHAI QUANG TRAN NGUYEN DDS

Information about “1215129424” NPI (KHAI QUANG TRAN NGUYEN DDS) exists in 1215129424 in HTML format HTML  |  1215129424 in plain Text format TXT  |  1215129424 in PDF (Portable Document Format) PDF  |  1215129424 in an XML format XML  formats.

NPI Number : 1215129424 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215129424",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NGUYEN",
    "FirstName": "KHAI",
    "MiddleName": "QUANG TRAN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NGUYEN",
    "OtherFirstName": "KHAI",
    "OtherMiddleName": "QUANG",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DDS",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1644 B ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAYWARD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94541-3020",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-538-9701",
    "MailingAddressFaxNumber": "510-538-5217",
    "FirstLinePracticeLocationAddress": "1644 B ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAYWARD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94541-3020",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-538-9701",
    "PracticeLocationAddressFaxNumber": "510-538-5217",
    "EnumerationDate": "08/11/2007",
    "LastUpdateDate": "08/11/2007",
    "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": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "38569",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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