NPI Code Detail JSON Logo

1992248959 NPI number — CONRAD K. GOULD D.C.

NPI Number: 1992248959
Health Care Provider/Practitioner: CONRAD K. GOULD D.C.

Information about “1992248959” NPI (CONRAD K. GOULD D.C.) exists in 1992248959 in HTML format HTML  |  1992248959 in plain Text format TXT  |  1992248959 in PDF (Portable Document Format) PDF  |  1992248959 in an XML format XML  formats.

NPI Number : 1992248959 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992248959",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOULD",
    "FirstName": "CONRAD",
    "MiddleName": "K.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7157 161ST ST",
    "SecondLineMailingAddress": "APT 6A",
    "MailingAddressCityName": "FRESH MEADOWS",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11365-4498",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "914-772-3835",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "125 CRESCENT PL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YONKERS",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10704-1603",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "914-772-3835",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/23/2016",
    "LastUpdateDate": "09/04/2020",
    "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": "012882",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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