NPI Code Detail JSON Logo

1477318582 NPI number — IRON MOUNTAIN SMILE STUDIO

NPI Number: 1477318582
Health Care Provider/Practitioner: IRON MOUNTAIN SMILE STUDIO

Information about “1477318582” NPI (IRON MOUNTAIN SMILE STUDIO) exists in 1477318582 in HTML format HTML  |  1477318582 in plain Text format TXT  |  1477318582 in PDF (Portable Document Format) PDF  |  1477318582 in an XML format XML  formats.

NPI Number : 1477318582 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477318582",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "IRON MOUNTAIN SMILE STUDIO",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "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": "800 S GAY ST STE P325",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KNOXVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37929-9749",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-888-8999",
    "MailingAddressFaxNumber": "865-662-4347",
    "FirstLinePracticeLocationAddress": "800 S GAY ST STE P325",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KNOXVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37929-9749",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "865-888-8999",
    "PracticeLocationAddressFaxNumber": "865-662-4347",
    "EnumerationDate": "02/19/2024",
    "LastUpdateDate": "02/19/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ARMSTRONG",
    "AuthorizedOfficialFirstName": "SCOT",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "770-307-8726",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QD0000X",
        "TaxonomyName": "Dental Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.