NPI Code Detail JSON Logo

1659383529 NPI number — PAUL M HARRIS D.C.

NPI Number: 1659383529
Health Care Provider/Practitioner: PAUL M HARRIS D.C.

Information about “1659383529” NPI (PAUL M HARRIS D.C.) exists in 1659383529 in HTML format HTML  |  1659383529 in plain Text format TXT  |  1659383529 in PDF (Portable Document Format) PDF  |  1659383529 in an XML format XML  formats.

NPI Number : 1659383529 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659383529",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARRIS",
    "FirstName": "PAUL",
    "MiddleName": "M",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "580 REDBIRD CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DE PERE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54115-8785",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-632-4699",
    "MailingAddressFaxNumber": "920-632-4704",
    "FirstLinePracticeLocationAddress": "580 REDBIRD CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DE PERE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54115-8785",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "920-632-4699",
    "PracticeLocationAddressFaxNumber": "920-632-4704",
    "EnumerationDate": "08/12/2006",
    "LastUpdateDate": "05/30/2019",
    "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": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "4066",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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