NPI Code Detail JSON Logo

1619858081 NPI number — CLARE ALANE DYKEWICZ MD, MPH

NPI Number: 1619858081
Health Care Provider/Practitioner: CLARE ALANE DYKEWICZ MD, MPH

Information about “1619858081” NPI (CLARE ALANE DYKEWICZ MD, MPH) exists in 1619858081 in HTML format HTML  |  1619858081 in plain Text format TXT  |  1619858081 in PDF (Portable Document Format) PDF  |  1619858081 in an XML format XML  formats.

NPI Number : 1619858081 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619858081",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DYKEWICZ",
    "FirstName": "CLARE",
    "MiddleName": "ALANE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD, MPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2486 SUSALEEN CT NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30345-3965",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-668-5780",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2486 SUSALEEN CT NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30345-3965",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-668-5780",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/10/2025",
    "LastUpdateDate": "09/10/2025",
    "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": "208000000X",
          "TaxonomyName": "Pediatrics Physician",
          "LicenseNumber": "32174",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2083P0901X",
          "TaxonomyName": "Public Health & General Preventive Medicine Physician",
          "LicenseNumber": "32174",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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