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1417004615 NPI number — DAVID C JOHNSON DC, MUAC

NPI Number: 1417004615
Health Care Provider/Practitioner: DAVID C JOHNSON DC, MUAC

Information about “1417004615” NPI (DAVID C JOHNSON DC, MUAC) exists in 1417004615 in HTML format HTML  |  1417004615 in plain Text format TXT  |  1417004615 in PDF (Portable Document Format) PDF  |  1417004615 in an XML format XML  formats.

NPI Number : 1417004615 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417004615",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHNSON",
    "FirstName": "DAVID",
    "MiddleName": "C",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "DC, MUAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4410 W UNION HILLS DR STE 7",
    "SecondLineMailingAddress": "309",
    "MailingAddressCityName": "GLENDALE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85308-1656",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-765-9736",
    "MailingAddressFaxNumber": "602-942-2106",
    "FirstLinePracticeLocationAddress": "5930 W GREENWAY RD STE 26",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLENDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85306-3291",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-765-9736",
    "PracticeLocationAddressFaxNumber": "602-942-2106",
    "EnumerationDate": "01/03/2007",
    "LastUpdateDate": "08/01/2010",
    "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": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "5344",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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