NPI Code Detail JSON Logo

1508199225 NPI number — DANNY LIN CADDELL LCDC

NPI Number: 1508199225
Health Care Provider/Practitioner: DANNY LIN CADDELL LCDC

Information about “1508199225” NPI (DANNY LIN CADDELL LCDC) exists in 1508199225 in HTML format HTML  |  1508199225 in plain Text format TXT  |  1508199225 in PDF (Portable Document Format) PDF  |  1508199225 in an XML format XML  formats.

NPI Number : 1508199225 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508199225",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CADDELL",
    "FirstName": "DANNY",
    "MiddleName": "LIN",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "LCDC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1705 N FM 179",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LUBBOCK",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79416",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "806-780-8300",
    "MailingAddressFaxNumber": "806-780-8383",
    "FirstLinePracticeLocationAddress": "1705 N FM 179",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LUBBOCK",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79416",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "806-797-8003",
    "PracticeLocationAddressFaxNumber": "806-687-8455",
    "EnumerationDate": "09/14/2009",
    "LastUpdateDate": "08/31/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "6265",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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