NPI Code Detail JSON Logo

1922301217 NPI number — MELINDA C HENDRICK DC

NPI Number: 1922301217
Health Care Provider/Practitioner: MELINDA C HENDRICK DC

Information about “1922301217” NPI (MELINDA C HENDRICK DC) exists in 1922301217 in HTML format HTML  |  1922301217 in plain Text format TXT  |  1922301217 in PDF (Portable Document Format) PDF  |  1922301217 in an XML format XML  formats.

NPI Number : 1922301217 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922301217",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HENDRICK",
    "FirstName": "MELINDA",
    "MiddleName": "C",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6901 S YOSEMITE ST",
    "SecondLineMailingAddress": "STE 102",
    "MailingAddressCityName": "CENTENNIAL",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80112-1413",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-221-1223",
    "MailingAddressFaxNumber": "303-770-6018",
    "FirstLinePracticeLocationAddress": "6901 S YOSEMITE ST",
    "SecondLinePracticeLocationAddress": "STE 102",
    "PracticeLocationAddressCityName": "CENTENNIAL",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80112-1413",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-221-1223",
    "PracticeLocationAddressFaxNumber": "303-770-6018",
    "EnumerationDate": "12/08/2010",
    "LastUpdateDate": "12/08/2020",
    "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": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "31806",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "CH 60340202",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "6613",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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