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1548606841 NPI number — ELISHA MAYES, DDS, PC

NPI Number: 1548606841
Health Care Provider/Practitioner: ELISHA MAYES, DDS, PC

Information about “1548606841” NPI (ELISHA MAYES, DDS, PC) exists in 1548606841 in HTML format HTML  |  1548606841 in plain Text format TXT  |  1548606841 in PDF (Portable Document Format) PDF  |  1548606841 in an XML format XML  formats.

NPI Number : 1548606841 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548606841",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ELISHA MAYES, DDS, PC",
    "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": "PO BOX 929",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELGIN",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97827-0929",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "541-437-6321",
    "MailingAddressFaxNumber": "541-437-1477",
    "FirstLinePracticeLocationAddress": "570 S. 8TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELGIN",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97827",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "541-437-6321",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/14/2013",
    "LastUpdateDate": "04/05/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MAYES",
    "AuthorizedOfficialFirstName": "SHANTAY",
    "AuthorizedOfficialMiddleName": "S",
    "AuthorizedOfficialTitle": "OFFICE MANAGER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "303-229-0004",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "D9190",
        "LicenseNumberStateCode": "OR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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