NPI Code Detail JSON Logo

1811156862 NPI number — LEO ALVA JOHNS DDS

NPI Number: 1811156862
Health Care Provider/Practitioner: LEO ALVA JOHNS DDS

Information about “1811156862” NPI (LEO ALVA JOHNS DDS) exists in 1811156862 in HTML format HTML  |  1811156862 in plain Text format TXT  |  1811156862 in PDF (Portable Document Format) PDF  |  1811156862 in an XML format XML  formats.

NPI Number : 1811156862 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811156862",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHNS",
    "FirstName": "LEO",
    "MiddleName": "ALVA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "226 WHITE OAK BLF",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STELLA",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28582-9757",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "252-393-2898",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2821 HWY 903 NORTH",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MAURY",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28554",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-747-8101",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/05/2008",
    "LastUpdateDate": "06/05/2008",
    "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": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "3941",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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