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1902025349 NPI number — CHRISTOPHER WALTER RICKER D.M.D.

NPI Number: 1902025349
Health Care Provider/Practitioner: CHRISTOPHER WALTER RICKER D.M.D.

Information about “1902025349” NPI (CHRISTOPHER WALTER RICKER D.M.D.) exists in 1902025349 in HTML format HTML  |  1902025349 in plain Text format TXT  |  1902025349 in PDF (Portable Document Format) PDF  |  1902025349 in an XML format XML  formats.

NPI Number : 1902025349 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902025349",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RICKER",
    "FirstName": "CHRISTOPHER",
    "MiddleName": "WALTER",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2560 RCA BLVD STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALM BEACH GARDENS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33410-3336",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-776-7003",
    "MailingAddressFaxNumber": "561-776-7210",
    "FirstLinePracticeLocationAddress": "2560 RCA BLVD STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALM BEACH GARDENS",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33410-3336",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-776-7003",
    "PracticeLocationAddressFaxNumber": "561-776-7210",
    "EnumerationDate": "04/24/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "DN0012778",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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