{
"Npi": {
"NPI": "1013320480",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "C0658121",
"ParentOrgTIN": null,
"OrgName": "DAVID E. FARKAS, D.D.S., P.C.",
"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": "10932 RATNER ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SUN VALLEY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91352-4036",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-767-6022",
"MailingAddressFaxNumber": "818-767-6196",
"FirstLinePracticeLocationAddress": "10932 RATNER ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SUN VALLEY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91352-4036",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-767-6022",
"PracticeLocationAddressFaxNumber": "818-767-6196",
"EnumerationDate": "06/03/2014",
"LastUpdateDate": "06/03/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FARKAS",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": "E.",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "818-767-6022",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "19874",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}