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1417231382 NPI number — MCPHERSON DENTAL CENTER

NPI Number: 1417231382
Health Care Provider/Practitioner: MCPHERSON DENTAL CENTER

Information about “1417231382” NPI (MCPHERSON DENTAL CENTER) exists in 1417231382 in HTML format HTML  |  1417231382 in plain Text format TXT  |  1417231382 in PDF (Portable Document Format) PDF  |  1417231382 in an XML format XML  formats.

NPI Number : 1417231382 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417231382",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MCPHERSON DENTAL CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6547 STAR CT",
    "SecondLineMailingAddress": "#1",
    "MailingAddressCityName": "LAREDO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78041",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "956-717-8899",
    "MailingAddressFaxNumber": "956-717-8898",
    "FirstLinePracticeLocationAddress": "6547 STAR CT",
    "SecondLinePracticeLocationAddress": "#1",
    "PracticeLocationAddressCityName": "LAREDO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78041",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "956-717-8899",
    "PracticeLocationAddressFaxNumber": "956-717-8898",
    "EnumerationDate": "10/10/2011",
    "LastUpdateDate": "10/10/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GUERRA-ZUNIGA",
    "AuthorizedOfficialFirstName": "MARIA",
    "AuthorizedOfficialMiddleName": "M",
    "AuthorizedOfficialTitle": "OWNER/DENTIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.D.S.",
    "AuthorizedOfficialTelephoneNumber": "956-717-8899",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "124Q00000X",
          "TaxonomyName": "Dental Hygienist",
          "LicenseNumber": "17103",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "16711",
          "LicenseNumberStateCode": "TX",
          "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."
        }
      ]
    }
  }
}
                
            

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