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1588787139 NPI number — NICOLE SIVIE MONTGOMERY DDS

NPI Number: 1588787139
Health Care Provider/Practitioner: NICOLE SIVIE MONTGOMERY DDS

Information about “1588787139” NPI (NICOLE SIVIE MONTGOMERY DDS) exists in 1588787139 in HTML format HTML  |  1588787139 in plain Text format TXT  |  1588787139 in PDF (Portable Document Format) PDF  |  1588787139 in an XML format XML  formats.

NPI Number : 1588787139 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588787139",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MONTGOMERY",
    "FirstName": "NICOLE",
    "MiddleName": "SIVIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SIVIE",
    "OtherFirstName": "NICOLE",
    "OtherMiddleName": "LEIGH",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "DDS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5800 COIT RD.",
    "SecondLineMailingAddress": "SUITE 800",
    "MailingAddressCityName": "PLANO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75023-5944",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-596-9697",
    "MailingAddressFaxNumber": "972-867-4796",
    "FirstLinePracticeLocationAddress": "5800 COIT RD.",
    "SecondLinePracticeLocationAddress": "SUITE 800",
    "PracticeLocationAddressCityName": "PLANO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75023-5944",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-596-9697",
    "PracticeLocationAddressFaxNumber": "972-867-4796",
    "EnumerationDate": "04/09/2007",
    "LastUpdateDate": "12/11/2007",
    "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": "19329",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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