NPI Code Detail JSON Logo

1508751942 NPI number — DOMINIQUE MARIE MENDEL

NPI Number: 1508751942
Health Care Provider/Practitioner: DOMINIQUE MARIE MENDEL

Information about “1508751942” NPI (DOMINIQUE MARIE MENDEL) exists in 1508751942 in HTML format HTML  |  1508751942 in plain Text format TXT  |  1508751942 in PDF (Portable Document Format) PDF  |  1508751942 in an XML format XML  formats.

NPI Number : 1508751942 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508751942",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MENDEL",
    "FirstName": "DOMINIQUE",
    "MiddleName": "MARIE",
    "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": "5116 W BARBADOS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIOUX FALLS",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57107-2021",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "605-759-3783",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5116 W BARBADOS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SIOUX FALLS",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57107-2021",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-759-3783",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/09/2025",
    "LastUpdateDate": "06/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "374J00000X",
        "TaxonomyName": "Doula",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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