NPI Code Detail JSON Logo

1730086919 NPI number — THREE DOC P.C.

NPI Number: 1730086919
Health Care Provider/Practitioner: THREE DOC P.C.

Information about “1730086919” NPI (THREE DOC P.C.) exists in 1730086919 in HTML format HTML  |  1730086919 in plain Text format TXT  |  1730086919 in PDF (Portable Document Format) PDF  |  1730086919 in an XML format XML  formats.

NPI Number : 1730086919 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730086919",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "THREE DOC P.C.",
    "ParentOrgTIN": null,
    "OrgName": "THREE DOC P.C.",
    "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": "1110 MARKET ST STE 502",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHATTANOOGA",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37402-3310",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "682-259-6319",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 RIVERBOAT DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH KANSAS CITY",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64116-3267",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "816-460-5055",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/21/2026",
    "LastUpdateDate": "10/21/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DICKENSON",
    "AuthorizedOfficialFirstName": "PAUL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "TREASURER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "423-602-9530",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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