NPI Code Detail JSON Logo

1386691244 NPI number — TARAMBAKUFA DAVID MUKURAZHIZHA DDS

NPI Number: 1386691244
Health Care Provider/Practitioner: TARAMBAKUFA DAVID MUKURAZHIZHA DDS

Information about “1386691244” NPI (TARAMBAKUFA DAVID MUKURAZHIZHA DDS) exists in 1386691244 in HTML format HTML  |  1386691244 in plain Text format TXT  |  1386691244 in PDF (Portable Document Format) PDF  |  1386691244 in an XML format XML  formats.

NPI Number : 1386691244 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386691244",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MUKURAZHIZHA",
    "FirstName": "TARAMBAKUFA",
    "MiddleName": "DAVID",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2871 TROY CENTER DR",
    "SecondLineMailingAddress": "APT P-3",
    "MailingAddressCityName": "TROY",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48084-4727",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-440-4525",
    "MailingAddressFaxNumber": "313-494-6842",
    "FirstLinePracticeLocationAddress": "29702 SOUTHFIELD RD",
    "SecondLinePracticeLocationAddress": "SUITE H",
    "PracticeLocationAddressCityName": "SOUTHFIELD",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48076-2096",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-440-4525",
    "PracticeLocationAddressFaxNumber": "248-559-6386",
    "EnumerationDate": "05/27/2006",
    "LastUpdateDate": "02/26/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "052732",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "2901019955",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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