NPI Code Detail JSON Logo

1871987958 NPI number — DAWN YORTON C-PED, ATC

NPI Number: 1871987958
Health Care Provider/Practitioner: DAWN YORTON C-PED, ATC

Information about “1871987958” NPI (DAWN YORTON C-PED, ATC) exists in 1871987958 in HTML format HTML  |  1871987958 in plain Text format TXT  |  1871987958 in PDF (Portable Document Format) PDF  |  1871987958 in an XML format XML  formats.

NPI Number : 1871987958 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871987958",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YORTON",
    "FirstName": "DAWN",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "C-PED, ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10532 LITTLE FAWN CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEVIEW",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48850-9326",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "616-498-2687",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5147 E PARIS AVE SE",
    "SecondLinePracticeLocationAddress": "SUITE 21",
    "PracticeLocationAddressCityName": "KENTWOOD",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49512-5457",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "616-356-5030",
    "PracticeLocationAddressFaxNumber": "616-656-5442",
    "EnumerationDate": "03/26/2015",
    "LastUpdateDate": "03/26/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "224L00000X",
          "TaxonomyName": "Pedorthist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "3640200",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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