NPI Code Detail JSON Logo

1427434356 NPI number — ANDY YOUNG KO DDS

NPI Number: 1427434356
Health Care Provider/Practitioner: ANDY YOUNG KO DDS

Information about “1427434356” NPI (ANDY YOUNG KO DDS) exists in 1427434356 in HTML format HTML  |  1427434356 in plain Text format TXT  |  1427434356 in PDF (Portable Document Format) PDF  |  1427434356 in an XML format XML  formats.

NPI Number : 1427434356 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427434356",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KO",
    "FirstName": "ANDY",
    "MiddleName": "YOUNG",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11311 MONTSERRAT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CYPRESS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90630-5319",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-334-7707",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "16424 BELLFLOWER BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BELLFLOWER",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90706-5415",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-804-1468",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/03/2015",
    "LastUpdateDate": "08/03/2015",
    "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": "1223P0221X",
        "TaxonomyName": "Pediatric Dentistry",
        "LicenseNumber": "64569",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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