NPI Code Detail JSON Logo

1962832311 NPI number — DOUGLAS MCCLELLAN DC

NPI Number: 1962832311
Health Care Provider/Practitioner: DOUGLAS MCCLELLAN DC

Information about “1962832311” NPI (DOUGLAS MCCLELLAN DC) exists in 1962832311 in HTML format HTML  |  1962832311 in plain Text format TXT  |  1962832311 in PDF (Portable Document Format) PDF  |  1962832311 in an XML format XML  formats.

NPI Number : 1962832311 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962832311",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCCLELLAN",
    "FirstName": "DOUGLAS",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "110 S 4TH ST",
    "SecondLineMailingAddress": "SUITE 102",
    "MailingAddressCityName": "GUNTER",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75058",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-477-7626",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "110 S 4TH ST",
    "SecondLinePracticeLocationAddress": "SUITE 102",
    "PracticeLocationAddressCityName": "GUNTER",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75058",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-477-7626",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/22/2013",
    "LastUpdateDate": "02/26/2024",
    "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": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "12486",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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