NPI Code Detail JSON Logo

1386454098 NPI number — TERI'S HEALTH SERVICES LLC

NPI Number: 1386454098
Health Care Provider/Practitioner: TERI'S HEALTH SERVICES LLC

Information about “1386454098” NPI (TERI'S HEALTH SERVICES LLC) exists in 1386454098 in HTML format HTML  |  1386454098 in plain Text format TXT  |  1386454098 in PDF (Portable Document Format) PDF  |  1386454098 in an XML format XML  formats.

NPI Number : 1386454098 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386454098",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TERI'S HEALTH SERVICES 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": "6635 W HAPPY VALLEY RD STE A104-621",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENDALE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85310-2609",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-503-0710",
    "MailingAddressFaxNumber": "602-358-7073",
    "FirstLinePracticeLocationAddress": "14040 N CAVE CREEK RD STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85022-6117",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-358-7073",
    "PracticeLocationAddressFaxNumber": "602-429-8602",
    "EnumerationDate": "01/14/2025",
    "LastUpdateDate": "01/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SWING",
    "AuthorizedOfficialFirstName": "PENNY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CREDENTIALING",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "928-318-3835",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM1300X",
        "TaxonomyName": "Multi-Specialty Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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