NPI Code Detail JSON Logo

1801041405 NPI number — PEDIATRIC DENTISTRY OF CENTRAL OHIO, RICHARD M. LOOCHTAN DDS, MS, LLC

NPI Number: 1801041405
Health Care Provider/Practitioner: PEDIATRIC DENTISTRY OF CENTRAL OHIO, RICHARD M. LOOCHTAN DDS, MS, LLC

Information about “1801041405” NPI (PEDIATRIC DENTISTRY OF CENTRAL OHIO, RICHARD M. LOOCHTAN DDS, MS, LLC) exists in 1801041405 in HTML format HTML  |  1801041405 in plain Text format TXT  |  1801041405 in PDF (Portable Document Format) PDF  |  1801041405 in an XML format XML  formats.

NPI Number : 1801041405 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801041405",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PEDIATRIC DENTISTRY OF CENTRAL OHIO, RICHARD M. LOOCHTAN DDS, MS, LLC",
    "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": "1600 CROSS CREEKS BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PICKERINGTON",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43147",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "614-863-8500",
    "MailingAddressFaxNumber": "614-863-0874",
    "FirstLinePracticeLocationAddress": "1600 CROSS CREEKS BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PICKERINGTON",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43147",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "614-863-8500",
    "PracticeLocationAddressFaxNumber": "614-863-0874",
    "EnumerationDate": "11/24/2008",
    "LastUpdateDate": "03/12/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LOOCHTAN",
    "AuthorizedOfficialFirstName": "RICHARD",
    "AuthorizedOfficialMiddleName": "M.",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.D.S., M.S.",
    "AuthorizedOfficialTelephoneNumber": "614-863-8500",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": "18880",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "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."
        },
        {
          "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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