NPI Code Detail JSON Logo

1700180155 NPI number — DIXON RECOVERY INSTITUTE

NPI Number: 1700180155
Health Care Provider/Practitioner: DIXON RECOVERY INSTITUTE

Information about “1700180155” NPI (DIXON RECOVERY INSTITUTE) exists in 1700180155 in HTML format HTML  |  1700180155 in plain Text format TXT  |  1700180155 in PDF (Portable Document Format) PDF  |  1700180155 in an XML format XML  formats.

NPI Number : 1700180155 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700180155",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DIXON RECOVERY INSTITUTE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7054 VANSCOY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH HOLLYWOOD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91605-5357",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "323-244-5677",
    "MailingAddressFaxNumber": "818-759-6072",
    "FirstLinePracticeLocationAddress": "4715 CRENSHAW BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90043-1233",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-244-5677",
    "PracticeLocationAddressFaxNumber": "818-759-6072",
    "EnumerationDate": "12/28/2010",
    "LastUpdateDate": "12/28/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DIXON",
    "AuthorizedOfficialFirstName": "RONDA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "323-244-5677",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "324500000X",
          "TaxonomyName": "Substance Abuse Rehabilitation Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3245S0500X",
          "TaxonomyName": "Children's Substance Abuse Rehabilitation Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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