NPI Code Detail JSON Logo

1609056860 NPI number — JOHN WILLIAM MCDANIEL JR. JOHN MCDANIEL D.D.S.

NPI Number: 1609056860
Health Care Provider/Practitioner: JOHN WILLIAM MCDANIEL JR. JOHN MCDANIEL D.D.S.

Information about “1609056860” NPI (JOHN WILLIAM MCDANIEL JR. JOHN MCDANIEL D.D.S.) exists in 1609056860 in HTML format HTML  |  1609056860 in plain Text format TXT  |  1609056860 in PDF (Portable Document Format) PDF  |  1609056860 in an XML format XML  formats.

NPI Number : 1609056860 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609056860",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCDANIEL",
    "FirstName": "JOHN",
    "MiddleName": "WILLIAM",
    "NamePrefix": "DR.",
    "NameSuffix": "JR.",
    "Credential": "JOHN MCDANIEL D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCDANIEL",
    "OtherFirstName": "JOHN",
    "OtherMiddleName": "WILLIAM",
    "OtherNamePrefix": null,
    "OtherNameSuffix": "JR.",
    "OtherCredential": "JOHN MCDANIEL",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1313 BELTLINE RD.",
    "SecondLineMailingAddress": "SUITE 101",
    "MailingAddressCityName": "MESQUITE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75149",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-289-3330",
    "MailingAddressFaxNumber": "972-226-0367",
    "FirstLinePracticeLocationAddress": "1313 BELTLINE RD.",
    "SecondLinePracticeLocationAddress": "SUITE 101",
    "PracticeLocationAddressCityName": "MESQUITE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75149",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-289-3330",
    "PracticeLocationAddressFaxNumber": "972-226-0367",
    "EnumerationDate": "11/05/2007",
    "LastUpdateDate": "11/05/2007",
    "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": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "15254",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.