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1649353301 NPI number — CHAD RYAN HAAK D.D.S.

NPI Number: 1649353301
Health Care Provider/Practitioner: CHAD RYAN HAAK D.D.S.

Information about “1649353301” NPI (CHAD RYAN HAAK D.D.S.) exists in 1649353301 in HTML format HTML  |  1649353301 in plain Text format TXT  |  1649353301 in PDF (Portable Document Format) PDF  |  1649353301 in an XML format XML  formats.

NPI Number : 1649353301 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649353301",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAAK",
    "FirstName": "CHAD",
    "MiddleName": "RYAN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4256 S DANTE CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MESA",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85212-2564",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-600-8859",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3011 S LINDSAY RD",
    "SecondLinePracticeLocationAddress": "SUITE 104",
    "PracticeLocationAddressCityName": "GILBERT",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85295-4332",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-471-8955",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/23/2006",
    "LastUpdateDate": "04/11/2012",
    "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": "6823",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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