NPI Code Detail JSON Logo

1588928485 NPI number — MARIAN B FOSTER-JORDAN D.D.S

NPI Number: 1588928485
Health Care Provider/Practitioner: MARIAN B FOSTER-JORDAN D.D.S

Information about “1588928485” NPI (MARIAN B FOSTER-JORDAN D.D.S) exists in 1588928485 in HTML format HTML  |  1588928485 in plain Text format TXT  |  1588928485 in PDF (Portable Document Format) PDF  |  1588928485 in an XML format XML  formats.

NPI Number : 1588928485 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588928485",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FOSTER-JORDAN",
    "FirstName": "MARIAN",
    "MiddleName": "B",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.D.S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FOSTER-JORDAN",
    "OtherFirstName": "MARIAN",
    "OtherMiddleName": "B",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.D.S.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "8630 FENTON ST STE 718",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SILVER SPRING",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20910-3812",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-388-8600",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8630 FENTON ST STE 718",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SILVER SPRING",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20910",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-388-8600",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/26/2012",
    "LastUpdateDate": "07/16/2018",
    "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": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "0401413598",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "15002",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": "15002",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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