NPI Code Detail JSON Logo

1942403001 NPI number — TIMOTHY WAYNE SETO DMD

NPI Number: 1942403001
Health Care Provider/Practitioner: TIMOTHY WAYNE SETO DMD

Information about “1942403001” NPI (TIMOTHY WAYNE SETO DMD) exists in 1942403001 in HTML format HTML  |  1942403001 in plain Text format TXT  |  1942403001 in PDF (Portable Document Format) PDF  |  1942403001 in an XML format XML  formats.

NPI Number : 1942403001 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942403001",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SETO",
    "FirstName": "TIMOTHY",
    "MiddleName": "WAYNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3715 51 ST. SW",
    "SecondLineMailingAddress": "SUITE 222",
    "MailingAddressCityName": "CALGARY",
    "MailingAddressStateName": "ALBERTA",
    "MailingAddressPostalCode": "T3E 6V2",
    "MailingAddressCountryCode": "CA",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3715 51 ST SW",
    "SecondLinePracticeLocationAddress": "SUITE 222",
    "PracticeLocationAddressCityName": "CALGARY",
    "PracticeLocationAddressStateName": "ALBERTA",
    "PracticeLocationAddressPostalCode": "T3E 6V2",
    "PracticeLocationAddressCountryCode": "CA",
    "PracticeLocationAddressTelephoneNumber": "587-885-1811",
    "PracticeLocationAddressFaxNumber": "587-885-1813",
    "EnumerationDate": "06/07/2007",
    "LastUpdateDate": "03/28/2025",
    "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": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "2901019313",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "2901019313",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": "DDS64121",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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