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1598812646 NPI number — JULIE KRISTINE WALTRIP DDS

NPI Number: 1598812646
Health Care Provider/Practitioner: JULIE KRISTINE WALTRIP DDS

Information about “1598812646” NPI (JULIE KRISTINE WALTRIP DDS) exists in 1598812646 in HTML format HTML  |  1598812646 in plain Text format TXT  |  1598812646 in PDF (Portable Document Format) PDF  |  1598812646 in an XML format XML  formats.

NPI Number : 1598812646 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598812646",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALTRIP",
    "FirstName": "JULIE",
    "MiddleName": "KRISTINE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9121 GHOST MOUNTAIN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89129-3667",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-215-2502",
    "MailingAddressFaxNumber": "830-249-9021",
    "FirstLinePracticeLocationAddress": "9061 W POST RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89148-2411",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-434-4800",
    "PracticeLocationAddressFaxNumber": "702-433-4806",
    "EnumerationDate": "01/04/2007",
    "LastUpdateDate": "03/01/2021",
    "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": "19475",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "7079",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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