NPI Code Detail JSON Logo

1295028942 NPI number — WEST MAIN DENTAL LLC

NPI Number: 1295028942
Health Care Provider/Practitioner: WEST MAIN DENTAL LLC

Information about “1295028942” NPI (WEST MAIN DENTAL LLC) exists in 1295028942 in HTML format HTML  |  1295028942 in plain Text format TXT  |  1295028942 in PDF (Portable Document Format) PDF  |  1295028942 in an XML format XML  formats.

NPI Number : 1295028942 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295028942",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WEST MAIN DENTAL LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "87 W MAIN ST",
    "SecondLineMailingAddress": "UNIT 105A",
    "MailingAddressCityName": "NEW BRITAIN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06051-2216",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-939-1460",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "87 W MAIN ST",
    "SecondLinePracticeLocationAddress": "UNIT 105A",
    "PracticeLocationAddressCityName": "NEW BRITAIN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06051-2216",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-939-1460",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/26/2011",
    "LastUpdateDate": "05/26/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ASGHER",
    "AuthorizedOfficialFirstName": "KHURRAM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "203-939-1460",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "10342",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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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