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1720621386 NPI number — JAMES ROBLEE DDS, MSD

NPI Number: 1720621386
Health Care Provider/Practitioner: JAMES ROBLEE DDS, MSD

Information about “1720621386” NPI (JAMES ROBLEE DDS, MSD) exists in 1720621386 in HTML format HTML  |  1720621386 in plain Text format TXT  |  1720621386 in PDF (Portable Document Format) PDF  |  1720621386 in an XML format XML  formats.

NPI Number : 1720621386 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720621386",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROBLEE",
    "FirstName": "JAMES",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS, MSD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1598 E AMBER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAYETTEVILLE",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72703-3087",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "479-313-2772",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "162 E SUNBRIDGE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAYETTEVILLE",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72703-2830",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "479-313-2772",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/25/2019",
    "LastUpdateDate": "10/25/2019",
    "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": "4397",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1223X2210X",
          "TaxonomyName": "Orofacial Pain Dentistry",
          "LicenseNumber": "4397",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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