NPI Code Detail JSON Logo

1346372026 NPI number — MARY E RUPPERT D.O.

NPI Number: 1346372026
Health Care Provider/Practitioner: MARY E RUPPERT D.O.

Information about “1346372026” NPI (MARY E RUPPERT D.O.) exists in 1346372026 in HTML format HTML  |  1346372026 in plain Text format TXT  |  1346372026 in PDF (Portable Document Format) PDF  |  1346372026 in an XML format XML  formats.

NPI Number : 1346372026 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346372026",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RUPPERT",
    "FirstName": "MARY",
    "MiddleName": "E",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7 GRAY STONE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAGUNA NIGUEL",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92677-9330",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-233-8447",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2521 MICHELLE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUSTIN",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92780-7014",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-988-2800",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/09/2007",
    "LastUpdateDate": "11/29/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "20A5541",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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