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1679791040 NPI number — DR. JAMES WILLIAM TINNEMEYER SR.

NPI Number: 1679791040
Health Care Provider/Practitioner: DR. JAMES WILLIAM TINNEMEYER SR.

Information about “1679791040” NPI (DR. JAMES WILLIAM TINNEMEYER SR.) exists in 1679791040 in HTML format HTML  |  1679791040 in plain Text format TXT  |  1679791040 in PDF (Portable Document Format) PDF  |  1679791040 in an XML format XML  formats.

NPI Number : 1679791040 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679791040",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TINNEMEYER",
    "FirstName": "JAMES",
    "MiddleName": "WILLIAM",
    "NamePrefix": "DR.",
    "NameSuffix": "SR.",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TINNEMEYER",
    "OtherFirstName": "JAMES",
    "OtherMiddleName": "WILLIAM",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": "SR.",
    "OtherCredential": "DMD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1079 GREENTREE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15220-3122",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-344-7811",
    "MailingAddressFaxNumber": "412-344-5520",
    "FirstLinePracticeLocationAddress": "1079 GREENTREE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PITTSBURGH",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15220-3122",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-344-7811",
    "PracticeLocationAddressFaxNumber": "412-344-5520",
    "EnumerationDate": "04/23/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "1223X0400X",
        "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
        "LicenseNumber": "016987",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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