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1487434452 NPI number — KJELD AAMODT DDS MS NY PC

NPI Number: 1487434452
Health Care Provider/Practitioner: KJELD AAMODT DDS MS NY PC

Information about “1487434452” NPI (KJELD AAMODT DDS MS NY PC) exists in 1487434452 in HTML format HTML  |  1487434452 in plain Text format TXT  |  1487434452 in PDF (Portable Document Format) PDF  |  1487434452 in an XML format XML  formats.

NPI Number : 1487434452 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487434452",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KJELD AAMODT DDS MS NY PC",
    "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": "605 MARKET ST STE 1200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN FRANCISCO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94105-3214",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "415-548-9145",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9 W 19TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10011-4224",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "929-955-1669",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/05/2023",
    "LastUpdateDate": "10/05/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AAMODT",
    "AuthorizedOfficialFirstName": "KJELD",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "COFOUNDER, CEO OF IMPRESS USA",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS MS",
    "AuthorizedOfficialTelephoneNumber": "831-238-7285",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223X0400X",
        "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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