NPI Code Detail JSON Logo

1881901007 NPI number — KRISTINE ELIZABETH BANKS DAHL M.D.

NPI Number: 1881901007
Health Care Provider/Practitioner: KRISTINE ELIZABETH BANKS DAHL M.D.

Information about “1881901007” NPI (KRISTINE ELIZABETH BANKS DAHL M.D.) exists in 1881901007 in HTML format HTML  |  1881901007 in plain Text format TXT  |  1881901007 in PDF (Portable Document Format) PDF  |  1881901007 in an XML format XML  formats.

NPI Number : 1881901007 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881901007",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BANKS DAHL",
    "FirstName": "KRISTINE",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DAHL",
    "OtherFirstName": "KRISTINE",
    "OtherMiddleName": "ELIZABETH BANKS",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1716 N 27TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEDERLAND",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77627-5604",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "409-853-4995",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3500 HIGHWAY 365 STE A100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORT ARTHUR",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77642-7721",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "409-724-3400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/09/2010",
    "LastUpdateDate": "09/17/2025",
    "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": "207X00000X",
        "TaxonomyName": "Orthopaedic Surgery Physician",
        "LicenseNumber": "N4281",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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