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1861132383 NPI number — IDEAL OPTION, PLLC

NPI Number: 1861132383
Health Care Provider/Practitioner: IDEAL OPTION, PLLC

Information about “1861132383” NPI (IDEAL OPTION, PLLC) exists in 1861132383 in HTML format HTML  |  1861132383 in plain Text format TXT  |  1861132383 in PDF (Portable Document Format) PDF  |  1861132383 in an XML format XML  formats.

NPI Number : 1861132383 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861132383",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "IDEAL OPTION, PLLC",
    "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": "500 SW 7TH ST STE A205",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RENTON",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98057-2983",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "877-522-1275",
    "MailingAddressFaxNumber": "833-888-7145",
    "FirstLinePracticeLocationAddress": "1523 WYOMING AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BILLINGS",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59102-4105",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "877-522-1275",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/31/2022",
    "LastUpdateDate": "04/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DAWSON",
    "AuthorizedOfficialFirstName": "BRIAN",
    "AuthorizedOfficialMiddleName": "JEFFERSON",
    "AuthorizedOfficialTitle": "CMO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "509-222-1275",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM1300X",
        "TaxonomyName": "Multi-Specialty Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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