1437556156 NPI number — JOSEPH DANIEL MATTHEWS RDCS, RVT, RDMS, RPH

NPI Number: 1437556156
Health Care Provider/Practitioner: JOSEPH DANIEL MATTHEWS RDCS, RVT, RDMS, RPH

NPI Number : 1437556156 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437556156",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MATTHEWS",
    "FirstName": "JOSEPH",
    "MiddleName": "DANIEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RDCS, RVT, RDMS, RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 4864",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOUNTAIN VIEW",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94040-0864",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "408-829-6486",
    "MailingAddressFaxNumber": "408-890-4770",
    "FirstLinePracticeLocationAddress": "65 NIELSON ST, 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WATSONVILLE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95076-2491",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "408-829-6486",
    "PracticeLocationAddressFaxNumber": "408-890-4770",
    "EnumerationDate": "11/24/2014",
    "LastUpdateDate": "01/15/2015",
    "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": "2471S1302X",
          "TaxonomyName": "Sonography Radiologic Technologist",
          "LicenseNumber": "71989",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2471V0105X",
          "TaxonomyName": "Vascular Sonography Radiologic Technologist",
          "LicenseNumber": "71989",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "246X00000X",
          "TaxonomyName": "Cardiovascular Specialist/Technologist",
          "LicenseNumber": "71989",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}