NPI Code Detail JSON Logo

1518082452 NPI number — IDA E. HENN DMD

NPI Number: 1518082452
Health Care Provider/Practitioner: IDA E. HENN DMD

Information about “1518082452” NPI (IDA E. HENN DMD) exists in 1518082452 in HTML format HTML  |  1518082452 in plain Text format TXT  |  1518082452 in PDF (Portable Document Format) PDF  |  1518082452 in an XML format XML  formats.

NPI Number : 1518082452 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518082452",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HENN",
    "FirstName": "IDA",
    "MiddleName": "E.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "27 CALLE SANTA ANASTACIA",
    "SecondLineMailingAddress": "EL VIGIA",
    "MailingAddressCityName": "SAN JUAN",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00926-4202",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-760-4843",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "511 AVE HOSTOS",
    "SecondLinePracticeLocationAddress": "STE. A",
    "PracticeLocationAddressCityName": "SAN JUAN",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00918-3230",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-754-9585",
    "PracticeLocationAddressFaxNumber": "787-274-1385",
    "EnumerationDate": "03/20/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "1351",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.