NPI Code Detail JSON Logo

1508376989 NPI number — MOHAMED KAYS DOWAIDARI DDS PC DELICATE DENTAL SPA DENTAL GROUP

NPI Number: 1508376989
Health Care Provider/Practitioner: MOHAMED KAYS DOWAIDARI DDS PC DELICATE DENTAL SPA DENTAL GROUP

Information about “1508376989” NPI (MOHAMED KAYS DOWAIDARI DDS PC DELICATE DENTAL SPA DENTAL GROUP) exists in 1508376989 in HTML format HTML  |  1508376989 in plain Text format TXT  |  1508376989 in PDF (Portable Document Format) PDF  |  1508376989 in an XML format XML  formats.

NPI Number : 1508376989 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508376989",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MOHAMED KAYS DOWAIDARI DDS PC DELICATE DENTAL SPA DENTAL GROUP",
    "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": "1635 N MOUNTAIN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "UPLAND",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91784-1732",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-982-3300",
    "MailingAddressFaxNumber": "909-982-3350",
    "FirstLinePracticeLocationAddress": "1635 N MOUNTAIN AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "UPLAND",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91784-1732",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-982-3300",
    "PracticeLocationAddressFaxNumber": "909-982-3350",
    "EnumerationDate": "10/11/2017",
    "LastUpdateDate": "09/26/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHATMAN",
    "AuthorizedOfficialFirstName": "NATASHA",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "OFFICE MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "909-982-3300",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "53592",
        "LicenseNumberStateCode": "CA",
        "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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