NPI Code Detail JSON Logo

1356912166 NPI number — EMILY FUNK ORTHODONTICS LLC

NPI Number: 1356912166
Health Care Provider/Practitioner: EMILY FUNK ORTHODONTICS LLC

Information about “1356912166” NPI (EMILY FUNK ORTHODONTICS LLC) exists in 1356912166 in HTML format HTML  |  1356912166 in plain Text format TXT  |  1356912166 in PDF (Portable Document Format) PDF  |  1356912166 in an XML format XML  formats.

NPI Number : 1356912166 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356912166",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EMILY FUNK ORTHODONTICS 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": "104 CRICKET DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MALVERN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19355-1547",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "240 WINDGATE DR STE A6",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHESTER SPRINGS",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19425-3643",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "484-886-9494",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/02/2021",
    "LastUpdateDate": "07/02/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FUNK",
    "AuthorizedOfficialFirstName": "EMILY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEMBER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "484-886-9494",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QD0000X",
        "TaxonomyName": "Dental Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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