NPI Code Detail JSON Logo

1255676268 NPI number — JOSE MARIO GUTIERREZ III D.D.S.

NPI Number: 1255676268
Health Care Provider/Practitioner: JOSE MARIO GUTIERREZ III D.D.S.

Information about “1255676268” NPI (JOSE MARIO GUTIERREZ III D.D.S.) exists in 1255676268 in HTML format HTML  |  1255676268 in plain Text format TXT  |  1255676268 in PDF (Portable Document Format) PDF  |  1255676268 in an XML format XML  formats.

NPI Number : 1255676268 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255676268",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUTIERREZ",
    "FirstName": "JOSE",
    "MiddleName": "MARIO",
    "NamePrefix": "DR.",
    "NameSuffix": "III",
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "25839 ECHO MTN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78260-6287",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-494-4889",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7703 FLOYD CURL DR",
    "SecondLinePracticeLocationAddress": "(MSC 7914)",
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78229-3901",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-567-6300",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/02/2012",
    "LastUpdateDate": "12/02/2012",
    "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": "1223P0700X",
        "TaxonomyName": "Prosthodontics",
        "LicenseNumber": "12011",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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