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1326128208 NPI number — THE DENTAL OFFICES OF JARON WEDDING D.D.S., M.S.D., AND RICHARD ORRICK

NPI Number: 1326128208
Health Care Provider/Practitioner: THE DENTAL OFFICES OF JARON WEDDING D.D.S., M.S.D., AND RICHARD ORRICK

Information about “1326128208” NPI (THE DENTAL OFFICES OF JARON WEDDING D.D.S., M.S.D., AND RICHARD ORRICK) exists in 1326128208 in HTML format HTML  |  1326128208 in plain Text format TXT  |  1326128208 in PDF (Portable Document Format) PDF  |  1326128208 in an XML format XML  formats.

NPI Number : 1326128208 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326128208",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE DENTAL OFFICES OF JARON WEDDING D.D.S., M.S.D., AND RICHARD ORRICK",
    "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": "522 N NEW BALLAS RD STE 382",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CREVE COEUR",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63141-6819",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-994-3737",
    "MailingAddressFaxNumber": "314-994-3757",
    "FirstLinePracticeLocationAddress": "522 N NEW BALLAS RD STE 382",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CREVE COEUR",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63141-6819",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "314-994-3737",
    "PracticeLocationAddressFaxNumber": "314-994-3757",
    "EnumerationDate": "10/16/2006",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ORRICK",
    "AuthorizedOfficialFirstName": "RICHARD",
    "AuthorizedOfficialMiddleName": "THOMAS",
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.M.D., M.S.D.",
    "AuthorizedOfficialTelephoneNumber": "317-994-3737",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223E0200X",
          "TaxonomyName": "Endodontics",
          "LicenseNumber": "2003016228",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223E0200X",
          "TaxonomyName": "Endodontics",
          "LicenseNumber": "2005019635",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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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