NPI Code Detail JSON Logo

1346885480 NPI number — STARR C BANWELL HIS

NPI Number: 1346885480
Health Care Provider/Practitioner: STARR C BANWELL HIS

Information about “1346885480” NPI (STARR C BANWELL HIS) exists in 1346885480 in HTML format HTML  |  1346885480 in plain Text format TXT  |  1346885480 in PDF (Portable Document Format) PDF  |  1346885480 in an XML format XML  formats.

NPI Number : 1346885480 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346885480",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BANWELL",
    "FirstName": "STARR",
    "MiddleName": "C",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "HIS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1216 COTTAGE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEBSTER CITY",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "50595-2512",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "515-835-9865",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "301 N ANKENY BLVD STE 130",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANKENY",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "50023-1730",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "515-207-9899",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/13/2019",
    "LastUpdateDate": "11/13/2019",
    "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": "237700000X",
        "TaxonomyName": "Hearing Instrument Specialist",
        "LicenseNumber": "097039",
        "LicenseNumberStateCode": "IA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.