{
"Npi": {
"NPI": "1013946102",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JOHNSON & SMITH ENTERPRISES INC",
"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": "401 E BLUE BELL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRENHAM",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77833",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "979-836-6611",
"MailingAddressFaxNumber": "979-836-2256",
"FirstLinePracticeLocationAddress": "401 EAST BLUE BELL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRENHAM",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77833",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "979-836-6611",
"PracticeLocationAddressFaxNumber": "979-836-2256",
"EnumerationDate": "07/01/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSON",
"AuthorizedOfficialFirstName": "GERALDINE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "ADMINISTRATOR",
"AuthorizedOfficialTelephoneNumber": "979-836-6611",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "313M00000X",
"TaxonomyName": "Nursing Facility/Intermediate Care Facility",
"LicenseNumber": "114173",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}