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1699488007 NPI number — JOHN HOWARD GREGORY CERTIFIED ORTHOTIST

NPI Number: 1699488007
Health Care Provider/Practitioner: JOHN HOWARD GREGORY CERTIFIED ORTHOTIST

Information about “1699488007” NPI (JOHN HOWARD GREGORY CERTIFIED ORTHOTIST) exists in 1699488007 in HTML format HTML  |  1699488007 in plain Text format TXT  |  1699488007 in PDF (Portable Document Format) PDF  |  1699488007 in an XML format XML  formats.

NPI Number : 1699488007 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699488007",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GREGORY",
    "FirstName": "JOHN",
    "MiddleName": "HOWARD",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CERTIFIED ORTHOTIST",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "61538 HARDIN MARTIN CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97702-3702",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-348-7830",
    "MailingAddressFaxNumber": "503-305-7045",
    "FirstLinePracticeLocationAddress": "2020 8TH AVE STE 222",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST LINN",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97068-4657",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-344-6642",
    "PracticeLocationAddressFaxNumber": "503-305-7045",
    "EnumerationDate": "12/30/2022",
    "LastUpdateDate": "01/13/2023",
    "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": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": "CO003723",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": "CO003723",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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