{
"Npi": {
"NPI": "1003250382",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TODD M. JUHLIN D.D.S., P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9200 W CROSS DR",
"SecondLineMailingAddress": "SUITE 603",
"MailingAddressCityName": "LITTLETON",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80123-2239",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "303-932-7458",
"MailingAddressFaxNumber": "303-932-7460",
"FirstLinePracticeLocationAddress": "9200 W CROSS DR",
"SecondLinePracticeLocationAddress": "SUITE 603",
"PracticeLocationAddressCityName": "LITTLETON",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80123-2239",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "303-932-7458",
"PracticeLocationAddressFaxNumber": "303-932-7460",
"EnumerationDate": "04/17/2013",
"LastUpdateDate": "04/17/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JUHLIN",
"AuthorizedOfficialFirstName": "TODD",
"AuthorizedOfficialMiddleName": "M.",
"AuthorizedOfficialTitle": "PRESIDENT / ORAL SURGEON",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "641-430-6112",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QS0112X",
"TaxonomyName": "Oral and Maxillofacial Surgery Clinic/Center",
"LicenseNumber": "10460",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}