NPI Code Detail JSON Logo

1225941578 NPI number — TRI SERVICE CLINIC

NPI Number: 1225941578
Health Care Provider/Practitioner: TRI SERVICE CLINIC

Information about “1225941578” NPI (TRI SERVICE CLINIC) exists in 1225941578 in HTML format HTML  |  1225941578 in plain Text format TXT  |  1225941578 in PDF (Portable Document Format) PDF  |  1225941578 in an XML format XML  formats.

NPI Number : 1225941578 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225941578",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TRI SERVICE CLINIC",
    "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": "196 THOMAS JOHNSON DR STE 125",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FREDERICK",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21702-4523",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-678-7202",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "196 THOMAS JOHNSON DR STE 125",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FREDERICK",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21702-4523",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-678-7202",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/28/2026",
    "LastUpdateDate": "09/28/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KING",
    "AuthorizedOfficialFirstName": "ALEXANDER",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "240-620-9342",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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