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1831557230 NPI number — CRAIG NIKOLAUS D.D.S.

NPI Number: 1831557230
Health Care Provider/Practitioner: CRAIG NIKOLAUS D.D.S.

Information about “1831557230” NPI (CRAIG NIKOLAUS D.D.S.) exists in 1831557230 in HTML format HTML  |  1831557230 in plain Text format TXT  |  1831557230 in PDF (Portable Document Format) PDF  |  1831557230 in an XML format XML  formats.

NPI Number : 1831557230 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831557230",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NIKOLAUS",
    "FirstName": "CRAIG",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1583 PRESCOTT VIEW CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PRESCOTT",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86301-1556",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-717-2847",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1583 PRESCOTT VIEW CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PRESCOTT",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "86301-1556",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-717-2847",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/01/2016",
    "LastUpdateDate": "05/06/2024",
    "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": "D0009395",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "11411",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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