NPI Code Detail JSON Logo

1407318975 NPI number — BOYU MA DMD

NPI Number: 1407318975
Health Care Provider/Practitioner: BOYU MA DMD

Information about “1407318975” NPI (BOYU MA DMD) exists in 1407318975 in HTML format HTML  |  1407318975 in plain Text format TXT  |  1407318975 in PDF (Portable Document Format) PDF  |  1407318975 in an XML format XML  formats.

NPI Number : 1407318975 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407318975",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MA",
    "FirstName": "BOYU",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "801 NW 10TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OKLAHOMA CITY",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73106-6901",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-560-3559",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1201 N STONEWALL AVE STE 206",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OKLAHOMA CITY",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73117-1214",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-271-7744",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/03/2019",
    "LastUpdateDate": "09/17/2025",
    "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": "204E00000X",
        "TaxonomyName": "Oral & Maxillofacial Surgery (D.M.D.)",
        "LicenseNumber": "25508",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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