NPI Code Detail JSON Logo

1629739693 NPI number — KAYLA MARIE GIOVARELLI RDH

NPI Number: 1629739693
Health Care Provider/Practitioner: KAYLA MARIE GIOVARELLI RDH

Information about “1629739693” NPI (KAYLA MARIE GIOVARELLI RDH) exists in 1629739693 in HTML format HTML  |  1629739693 in plain Text format TXT  |  1629739693 in PDF (Portable Document Format) PDF  |  1629739693 in an XML format XML  formats.

NPI Number : 1629739693 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629739693",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GIOVARELLI",
    "FirstName": "KAYLA",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RDH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PELOK",
    "OtherFirstName": "KAYLA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "RDH",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "760 HEMLOCK ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WAUSEON",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43567-1851",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "419-583-6745",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "407 INDEPENDENCE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NAPOLEON",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43545-8662",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "419-599-9033",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/03/2022",
    "LastUpdateDate": "01/03/2022",
    "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": "124Q00000X",
        "TaxonomyName": "Dental Hygienist",
        "LicenseNumber": "31.014210",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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