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1417316175 NPI number — CHAD GUBLER CASINO DIRECT-ORTHO

NPI Number: 1417316175
Health Care Provider/Practitioner: CHAD GUBLER CASINO DIRECT-ORTHO

Information about “1417316175” NPI (CHAD GUBLER CASINO DIRECT-ORTHO) exists in 1417316175 in HTML format HTML  |  1417316175 in plain Text format TXT  |  1417316175 in PDF (Portable Document Format) PDF  |  1417316175 in an XML format XML  formats.

NPI Number : 1417316175 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417316175",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "CHAD N.GUBLER DDS, CASINO DIRECT, LTD",
    "ParentOrgTIN": null,
    "OrgName": "CHAD GUBLER CASINO DIRECT-ORTHO",
    "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": "1701 W. CHARLESTON BLVD. STE 500",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89102-2309",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-322-2200",
    "MailingAddressFaxNumber": "702-330-5781",
    "FirstLinePracticeLocationAddress": "3481 E. SUNSET RD. STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89120",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-322-2180",
    "PracticeLocationAddressFaxNumber": "702-761-4359",
    "EnumerationDate": "02/23/2016",
    "LastUpdateDate": "11/27/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GUBLER",
    "AuthorizedOfficialFirstName": "CHAD",
    "AuthorizedOfficialMiddleName": "N.",
    "AuthorizedOfficialTitle": "OWNER DOCTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "702-349-6350",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "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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