NPI Code Detail JSON Logo

1447080254 NPI number — MICHELLE KARINA VEGA TERAN

NPI Number: 1447080254
Health Care Provider/Practitioner: MICHELLE KARINA VEGA TERAN

Information about “1447080254” NPI (MICHELLE KARINA VEGA TERAN) exists in 1447080254 in HTML format HTML  |  1447080254 in plain Text format TXT  |  1447080254 in PDF (Portable Document Format) PDF  |  1447080254 in an XML format XML  formats.

NPI Number : 1447080254 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447080254",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VEGA TERAN",
    "FirstName": "MICHELLE",
    "MiddleName": "KARINA",
    "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": "PO BOX 1494",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YUMA",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85366-2367",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "928-287-1537",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "AVENIDA B #300 SUITE 7",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALGODONES",
    "PracticeLocationAddressStateName": "BAJA CALIFORNIA",
    "PracticeLocationAddressPostalCode": "21970",
    "PracticeLocationAddressCountryCode": "MX",
    "PracticeLocationAddressTelephoneNumber": "658-596-2838",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/06/2024",
    "LastUpdateDate": "12/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "10402998",
        "LicenseNumberStateCode": "ZZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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