NPI Code Detail JSON Logo

1477607679 NPI number — BRYAN A. BAETENS, D.C., P.C.

NPI Number: 1477607679
Health Care Provider/Practitioner: BRYAN A. BAETENS, D.C., P.C.

Information about “1477607679” NPI (BRYAN A. BAETENS, D.C., P.C.) exists in 1477607679 in HTML format HTML  |  1477607679 in plain Text format TXT  |  1477607679 in PDF (Portable Document Format) PDF  |  1477607679 in an XML format XML  formats.

NPI Number : 1477607679 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477607679",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BRYAN A. BAETENS, D.C., P.C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "26000 HARPER AVENUE",
    "SecondLineMailingAddress": "SUITE A",
    "MailingAddressCityName": "SAINT CLAIR SHORES",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48081",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "586-774-7920",
    "MailingAddressFaxNumber": "586-774-8336",
    "FirstLinePracticeLocationAddress": "26000 HARPER AVENUE",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "SAINT CLAIR SHORES",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48081",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "586-774-7920",
    "PracticeLocationAddressFaxNumber": "586-774-8336",
    "EnumerationDate": "01/23/2007",
    "LastUpdateDate": "06/13/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BAETENS, D.C., P.C.",
    "AuthorizedOfficialFirstName": "BRYAN",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.C.",
    "AuthorizedOfficialTelephoneNumber": "586-774-7920",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "2301004667",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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