NPI Code Detail JSON Logo

1912312505 NPI number — KE JOHN KWEUN DDS

NPI Number: 1912312505
Health Care Provider/Practitioner: KE JOHN KWEUN DDS

Information about “1912312505” NPI (KE JOHN KWEUN DDS) exists in 1912312505 in HTML format HTML  |  1912312505 in plain Text format TXT  |  1912312505 in PDF (Portable Document Format) PDF  |  1912312505 in an XML format XML  formats.

NPI Number : 1912312505 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912312505",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KWEUN",
    "FirstName": "KE",
    "MiddleName": "JOHN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2111 SPAULDING RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BINGHAMTON",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13903-6125",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-642-2008",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2521 VESTAL PKWY W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VESTAL",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13850-1056",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "607-341-7161",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/23/2014",
    "LastUpdateDate": "04/25/2017",
    "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": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "057969",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.