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1710266465 NPI number — CAITLIN DORA DARCEY DMD

NPI Number: 1710266465
Health Care Provider/Practitioner: CAITLIN DORA DARCEY DMD

Information about “1710266465” NPI (CAITLIN DORA DARCEY DMD) exists in 1710266465 in HTML format HTML  |  1710266465 in plain Text format TXT  |  1710266465 in PDF (Portable Document Format) PDF  |  1710266465 in an XML format XML  formats.

NPI Number : 1710266465 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710266465",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DARCEY",
    "FirstName": "CAITLIN",
    "MiddleName": "DORA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LESTER",
    "OtherFirstName": "CAITLIN",
    "OtherMiddleName": "DARCEY",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1306 BRISTOL RIDGE PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CROWNSVILLE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21032-2217",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "267-408-0975",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "900 RITCHIE HWY STE 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEVERNA PARK",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21146-4190",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "411-647-0200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/12/2011",
    "LastUpdateDate": "01/09/2025",
    "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": "1223P0300X",
          "TaxonomyName": "Periodontics",
          "LicenseNumber": "15035",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "15035",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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