NPI Code Detail JSON Logo

1689563892 NPI number — RAYNI LEIGH TEMPLIN DDS

NPI Number: 1689563892
Health Care Provider/Practitioner: RAYNI LEIGH TEMPLIN DDS

Information about “1689563892” NPI (RAYNI LEIGH TEMPLIN DDS) exists in 1689563892 in HTML format HTML  |  1689563892 in plain Text format TXT  |  1689563892 in PDF (Portable Document Format) PDF  |  1689563892 in an XML format XML  formats.

NPI Number : 1689563892 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689563892",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TEMPLIN",
    "FirstName": "RAYNI",
    "MiddleName": "LEIGH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GULLETTE",
    "OtherFirstName": "RAYNI",
    "OtherMiddleName": "LEIGH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9577 OAK VIEW CT NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEMIDJI",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "56601-9140",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "218-407-0004",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1405 ANNE ST NW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEMIDJI",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "56601-5113",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "218-444-9646",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/01/2025",
    "LastUpdateDate": "07/01/2025",
    "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": "D15346",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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