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1750890166 NPI number — CYPRESS SMILES LLC

NPI Number: 1750890166
Health Care Provider/Practitioner: CYPRESS SMILES LLC

Information about “1750890166” NPI (CYPRESS SMILES LLC) exists in 1750890166 in HTML format HTML  |  1750890166 in plain Text format TXT  |  1750890166 in PDF (Portable Document Format) PDF  |  1750890166 in an XML format XML  formats.

NPI Number : 1750890166 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750890166",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CYPRESS SMILES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "141 FAIRVIEW OAKS DR STE 3",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MADISONVILLE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70447-9634",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1000 C M FAGAN DR STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAMMOND",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70403-6055",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "985-792-7046",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/28/2017",
    "LastUpdateDate": "06/16/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TAYLOR",
    "AuthorizedOfficialFirstName": "HOPE",
    "AuthorizedOfficialMiddleName": "M",
    "AuthorizedOfficialTitle": "OWNER/MANAGER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "225-236-8364",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "5825",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "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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