1265698823 NPI number — FILIPP A GADAR A.P.,D.O.M.

NPI Number: 1265698823
Health Care Provider/Practitioner: FILIPP A GADAR A.P.,D.O.M.

NPI Number : 1265698823 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265698823",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GADAR",
    "FirstName": "FILIPP",
    "MiddleName": "A",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "A.P.,D.O.M.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3205 SOUTHGATE CIR STE 18",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SARASOTA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34239-5514",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-735-6786",
    "MailingAddressFaxNumber": "813-342-7940",
    "FirstLinePracticeLocationAddress": "3205 SOUTHGATE CIR STE 18",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SARASOTA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34239-5514",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-735-6786",
    "PracticeLocationAddressFaxNumber": "813-342-7940",
    "EnumerationDate": "08/04/2008",
    "LastUpdateDate": "05/13/2020",
    "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": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "AP2259",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}