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1609022763 NPI number — ORVILLE S DIGGS DDS

NPI Number: 1609022763
Health Care Provider/Practitioner: ORVILLE S DIGGS DDS

Information about “1609022763” NPI (ORVILLE S DIGGS DDS) exists in 1609022763 in HTML format HTML  |  1609022763 in plain Text format TXT  |  1609022763 in PDF (Portable Document Format) PDF  |  1609022763 in an XML format XML  formats.

NPI Number : 1609022763 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609022763",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIGGS",
    "FirstName": "ORVILLE",
    "MiddleName": "S",
    "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": "7109 E BROADWAY BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TUCSON",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85710-1404",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "520-319-1390",
    "MailingAddressFaxNumber": "520-881-5133",
    "FirstLinePracticeLocationAddress": "3908 E GRANT RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUCSON",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85712-2558",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "520-327-6541",
    "PracticeLocationAddressFaxNumber": "520-327-6790",
    "EnumerationDate": "08/08/2008",
    "LastUpdateDate": "08/08/2008",
    "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": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "D3338",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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