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1932446135 NPI number — SHANAR NASSERIFAR DDS

NPI Number: 1932446135
Health Care Provider/Practitioner: SHANAR NASSERIFAR DDS

Information about “1932446135” NPI (SHANAR NASSERIFAR DDS) exists in 1932446135 in HTML format HTML  |  1932446135 in plain Text format TXT  |  1932446135 in PDF (Portable Document Format) PDF  |  1932446135 in an XML format XML  formats.

NPI Number : 1932446135 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932446135",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NASSERIFAR",
    "FirstName": "SHANAR",
    "MiddleName": null,
    "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": "1707 W CHARLESTON BLVD",
    "SecondLineMailingAddress": "SUITE 290",
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89102-2351",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-671-5175",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1707 W CHARLESTON BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 290",
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89102-2351",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-671-5175",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/08/2013",
    "LastUpdateDate": "01/08/2013",
    "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": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "LL-310-12",
        "LicenseNumberStateCode": "NV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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