NPI Code Detail JSON Logo

1417108580 NPI number — APPLEWHITE DENTAL IOWA PC

NPI Number: 1417108580
Health Care Provider/Practitioner: APPLEWHITE DENTAL IOWA PC

Information about “1417108580” NPI (APPLEWHITE DENTAL IOWA PC) exists in 1417108580 in HTML format HTML  |  1417108580 in plain Text format TXT  |  1417108580 in PDF (Portable Document Format) PDF  |  1417108580 in an XML format XML  formats.

NPI Number : 1417108580 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417108580",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "APPLEWHITE DENTAL IOWA PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "40 MAIN ST",
    "SecondLineMailingAddress": "SUITE 103",
    "MailingAddressCityName": "DUBUQUE",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "52001-7634",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "563-582-1448",
    "MailingAddressFaxNumber": "563-556-1326",
    "FirstLinePracticeLocationAddress": "40 MAIN ST",
    "SecondLinePracticeLocationAddress": "SUITE 103",
    "PracticeLocationAddressCityName": "DUBUQUE",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "52001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "563-582-1448",
    "PracticeLocationAddressFaxNumber": "563-556-1326",
    "EnumerationDate": "10/07/2008",
    "LastUpdateDate": "06/13/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCCOY",
    "AuthorizedOfficialFirstName": "THOMAS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.D.S.",
    "AuthorizedOfficialTelephoneNumber": "563-582-1448",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223E0200X",
          "TaxonomyName": "Endodontics",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0700X",
          "TaxonomyName": "Prosthodontics",
          "LicenseNumber": "7101",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "7564",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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