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1275672578 NPI number — LOUIE F. PEEDE JR. DMD

NPI Number: 1275672578
Health Care Provider/Practitioner: LOUIE F. PEEDE JR. DMD

Information about “1275672578” NPI (LOUIE F. PEEDE JR. DMD) exists in 1275672578 in HTML format HTML  |  1275672578 in plain Text format TXT  |  1275672578 in PDF (Portable Document Format) PDF  |  1275672578 in an XML format XML  formats.

NPI Number : 1275672578 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275672578",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PEEDE",
    "FirstName": "LOUIE",
    "MiddleName": "F.",
    "NamePrefix": "DR.",
    "NameSuffix": "JR.",
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PEEDE",
    "OtherFirstName": "L.",
    "OtherMiddleName": "F.",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": "JR.",
    "OtherCredential": "D.M.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 22919",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80222",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-755-1500",
    "MailingAddressFaxNumber": "303-755-0125",
    "FirstLinePracticeLocationAddress": "801 NORTH MAIN STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GARDEN CITY",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "67846",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-755-3353",
    "PracticeLocationAddressFaxNumber": "303-755-0125",
    "EnumerationDate": "02/05/2007",
    "LastUpdateDate": "12/12/2011",
    "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": "1223S0112X",
          "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
          "LicenseNumber": "HD100972",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1223S0112X",
          "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
          "LicenseNumber": "6645",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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