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1649164302 NPI number — RYAN CALMES

NPI Number: 1649164302
Health Care Provider/Practitioner: RYAN CALMES

Information about “1649164302” NPI (RYAN CALMES) exists in 1649164302 in HTML format HTML  |  1649164302 in plain Text format TXT  |  1649164302 in PDF (Portable Document Format) PDF  |  1649164302 in an XML format XML  formats.

NPI Number : 1649164302 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649164302",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CALMES",
    "FirstName": "RYAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3100 E LOURDES DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "APPLETON",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54915-3927",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-851-2345",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4236 N SHADYWOOD CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "APPLETON",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54913-2318",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "920-851-2345",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/06/2025",
    "LastUpdateDate": "06/06/2025",
    "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": "311ZA0620X",
          "TaxonomyName": "Adult Care Home Facility",
          "LicenseNumber": "18319",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "311ZA0620X",
          "TaxonomyName": "Adult Care Home Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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