{
"Npi": {
"NPI": "1003277609",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RABIA RAFIQ DDS & ASSOCIATES,PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "11700 PLAZA AMERICA DR STE 140",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RESTON",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "20190-4753",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "571-222-4900",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7534 LIMESTONE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GAINESVILLE",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "20155-4005",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-754-2220",
"PracticeLocationAddressFaxNumber": "703-754-2225",
"EnumerationDate": "03/10/2016",
"LastUpdateDate": "03/10/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RAFIQ",
"AuthorizedOfficialFirstName": "RABIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/DENTIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "703-754-2220",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "0401412074",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}