NPI Code Detail JSON Logo

1396843280 NPI number — WENDY FAITH DAVID DPM

NPI Number: 1396843280
Health Care Provider/Practitioner: WENDY FAITH DAVID DPM

Information about “1396843280” NPI (WENDY FAITH DAVID DPM) exists in 1396843280 in HTML format HTML  |  1396843280 in plain Text format TXT  |  1396843280 in PDF (Portable Document Format) PDF  |  1396843280 in an XML format XML  formats.

NPI Number : 1396843280 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396843280",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVID",
    "FirstName": "WENDY",
    "MiddleName": "FAITH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "297 WESTWOOD DR",
    "SecondLineMailingAddress": "SUITE 106",
    "MailingAddressCityName": "WOODBURY",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08096-3144",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "856-848-6262",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "297 WESTWOOD DR",
    "SecondLinePracticeLocationAddress": "SUITE 106",
    "PracticeLocationAddressCityName": "WOODBURY",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08096-3144",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "856-848-6262",
    "PracticeLocationAddressFaxNumber": "856-848-6649",
    "EnumerationDate": "09/21/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "213E00000X",
        "TaxonomyName": "Podiatrist",
        "LicenseNumber": "25MD00795500",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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