NPI Code Detail JSON Logo

1669880399 NPI number — ALIDA GRACE M MAGTOTO D.D.S.

NPI Number: 1669880399
Health Care Provider/Practitioner: ALIDA GRACE M MAGTOTO D.D.S.

Information about “1669880399” NPI (ALIDA GRACE M MAGTOTO D.D.S.) exists in 1669880399 in HTML format HTML  |  1669880399 in plain Text format TXT  |  1669880399 in PDF (Portable Document Format) PDF  |  1669880399 in an XML format XML  formats.

NPI Number : 1669880399 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669880399",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAGTOTO",
    "FirstName": "ALIDA GRACE",
    "MiddleName": "M",
    "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": "12316 PAWCATUCK WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RANCHO CORDOVA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95742-7735",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-753-9713",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10423 OLD PLACERVILLE RD STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SACRAMENTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95827-2540",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-822-8958",
    "PracticeLocationAddressFaxNumber": "916-368-7945",
    "EnumerationDate": "07/25/2014",
    "LastUpdateDate": "08/18/2020",
    "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": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "63731",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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