NPI Code Detail JSON Logo

1225311905 NPI number — CHRISTOPHER W. KENNERLY, D.D.S. & JEREMY W. LEDFORD, D.M.D., P.A.

NPI Number: 1225311905
Health Care Provider/Practitioner: CHRISTOPHER W. KENNERLY, D.D.S. & JEREMY W. LEDFORD, D.M.D., P.A.

Information about “1225311905” NPI (CHRISTOPHER W. KENNERLY, D.D.S. & JEREMY W. LEDFORD, D.M.D., P.A.) exists in 1225311905 in HTML format HTML  |  1225311905 in plain Text format TXT  |  1225311905 in PDF (Portable Document Format) PDF  |  1225311905 in an XML format XML  formats.

NPI Number : 1225311905 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225311905",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CHRISTOPHER W. KENNERLY, D.D.S. & JEREMY W. LEDFORD, D.M.D., P.A.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10 YORKSHIRE ST STE C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ASHEVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28803-2752",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "828-277-9907",
    "MailingAddressFaxNumber": "828-277-6445",
    "FirstLinePracticeLocationAddress": "10 YORKSHIRE ST STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ASHEVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28803-2752",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "828-277-9907",
    "PracticeLocationAddressFaxNumber": "828-277-6445",
    "EnumerationDate": "09/20/2011",
    "LastUpdateDate": "09/20/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEDFORD",
    "AuthorizedOfficialFirstName": "JEREMY",
    "AuthorizedOfficialMiddleName": "W",
    "AuthorizedOfficialTitle": "VICE PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DMD",
    "AuthorizedOfficialTelephoneNumber": "828-277-9907",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "8790",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "4657",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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