NPI Code Detail JSON Logo

1780624999 NPI number — DANIEL JERAN D.P.M.

NPI Number: 1780624999
Health Care Provider/Practitioner: DANIEL JERAN D.P.M.

Information about “1780624999” NPI (DANIEL JERAN D.P.M.) exists in 1780624999 in HTML format HTML  |  1780624999 in plain Text format TXT  |  1780624999 in PDF (Portable Document Format) PDF  |  1780624999 in an XML format XML  formats.

NPI Number : 1780624999 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780624999",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JERAN",
    "FirstName": "DANIEL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.P.M.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "521 ROUTE 111",
    "SecondLineMailingAddress": "SUITE 309",
    "MailingAddressCityName": "HAUPPAUGE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11788-4370",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-979-7654",
    "MailingAddressFaxNumber": "631-979-4002",
    "FirstLinePracticeLocationAddress": "521 ROUTE 111",
    "SecondLinePracticeLocationAddress": "SUITE 309",
    "PracticeLocationAddressCityName": "HAUPPAUGE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11788-4370",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-979-7654",
    "PracticeLocationAddressFaxNumber": "631-979-4002",
    "EnumerationDate": "06/07/2006",
    "LastUpdateDate": "05/05/2008",
    "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": "213ES0131X",
        "TaxonomyName": "Foot Surgery Podiatrist",
        "LicenseNumber": "N004563-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.