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1457797185 NPI number — RACHANA ASHOK HEGDE BDS

NPI Number: 1457797185
Health Care Provider/Practitioner: RACHANA ASHOK HEGDE BDS

Information about “1457797185” NPI (RACHANA ASHOK HEGDE BDS) exists in 1457797185 in HTML format HTML  |  1457797185 in plain Text format TXT  |  1457797185 in PDF (Portable Document Format) PDF  |  1457797185 in an XML format XML  formats.

NPI Number : 1457797185 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457797185",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HEGDE",
    "FirstName": "RACHANA",
    "MiddleName": "ASHOK",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "BDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11623 S ALEXANDRIA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTH JORDAN",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84095-5997",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10920 S RIVER FRONT PARKWAY",
    "SecondLinePracticeLocationAddress": "COLLEGE OF DENTAL MEDICINE ROSEMAN UNIVERSITY OF HEALTH",
    "PracticeLocationAddressCityName": "SOUTH JORDAN",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84095",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "840-878-1482",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/21/2013",
    "LastUpdateDate": "12/03/2022",
    "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": "1223P0300X",
        "TaxonomyName": "Periodontics",
        "LicenseNumber": "9156834-ED91",
        "LicenseNumberStateCode": "UT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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