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1215419338 NPI number — NADIA KIESEL NEWMAN DDS

NPI Number: 1215419338
Health Care Provider/Practitioner: NADIA KIESEL NEWMAN DDS

Information about “1215419338” NPI (NADIA KIESEL NEWMAN DDS) exists in 1215419338 in HTML format HTML  |  1215419338 in plain Text format TXT  |  1215419338 in PDF (Portable Document Format) PDF  |  1215419338 in an XML format XML  formats.

NPI Number : 1215419338 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215419338",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NEWMAN",
    "FirstName": "NADIA",
    "MiddleName": "KIESEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KIESEL",
    "OtherFirstName": "NADIA",
    "OtherMiddleName": "CHRISTINA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "619 WHITE OAK XING",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SWANSBORO",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28584-8479",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-846-2853",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1280 WESTERN BLVD UNIT 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28546-7658",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-388-0223",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/05/2018",
    "LastUpdateDate": "02/08/2023",
    "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": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "10964686-9921",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "13101",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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