NPI Code Detail JSON Logo

1477115152 NPI number — CAROLINE ISABEL CHINCHILLA PUTZEYS MD

NPI Number: 1477115152
Health Care Provider/Practitioner: CAROLINE ISABEL CHINCHILLA PUTZEYS MD

Information about “1477115152” NPI (CAROLINE ISABEL CHINCHILLA PUTZEYS MD) exists in 1477115152 in HTML format HTML  |  1477115152 in plain Text format TXT  |  1477115152 in PDF (Portable Document Format) PDF  |  1477115152 in an XML format XML  formats.

NPI Number : 1477115152 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477115152",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHINCHILLA PUTZEYS",
    "FirstName": "CAROLINE",
    "MiddleName": "ISABEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 674721",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75267-4721",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "515-643-2519",
    "MailingAddressFaxNumber": "515-643-5460",
    "FirstLinePracticeLocationAddress": "330 LAUREL ST STE 1200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DES MOINES",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "50314-3044",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "515-643-5454",
    "PracticeLocationAddressFaxNumber": "515-643-5460",
    "EnumerationDate": "07/02/2019",
    "LastUpdateDate": "09/17/2025",
    "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": "2080P0206X",
          "TaxonomyName": "Pediatric Gastroenterology Physician",
          "LicenseNumber": "L.5054",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2080P0206X",
          "TaxonomyName": "Pediatric Gastroenterology Physician",
          "LicenseNumber": "MD-53950",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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