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1538200449 NPI number — MUKHTTAR JAFFER CHAMPSI D.D.S., D.C.

NPI Number: 1538200449
Health Care Provider/Practitioner: MUKHTTAR JAFFER CHAMPSI D.D.S., D.C.

Information about “1538200449” NPI (MUKHTTAR JAFFER CHAMPSI D.D.S., D.C.) exists in 1538200449 in HTML format HTML  |  1538200449 in plain Text format TXT  |  1538200449 in PDF (Portable Document Format) PDF  |  1538200449 in an XML format XML  formats.

NPI Number : 1538200449 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538200449",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHAMPSI",
    "FirstName": "MUKHTTAR",
    "MiddleName": "JAFFER",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.D.S., D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHAMPSI",
    "OtherFirstName": "MARK",
    "OtherMiddleName": "J",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.D.S., D.C.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1304 VILLAGE CREEK DR",
    "SecondLineMailingAddress": "#400",
    "MailingAddressCityName": "PLANO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75093-4449",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-733-3666",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1304 VILLAGE CREEK DR",
    "SecondLinePracticeLocationAddress": "#400",
    "PracticeLocationAddressCityName": "PLANO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75093-4449",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-733-3666",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/12/2007",
    "LastUpdateDate": "09/11/2025",
    "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": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "6973",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "19101",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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