{
"Npi": {
"NPI": "1023339900",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DALLAS COUNTY HOSPITAL DISTRICT",
"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": "561 RIDGECREST RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORNEY",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75126-0146",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "972-552-2420",
"MailingAddressFaxNumber": "972-552-2481",
"FirstLinePracticeLocationAddress": "561 RIDGECREST RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FORNEY",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75126-0146",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "972-552-2420",
"PracticeLocationAddressFaxNumber": "972-552-2481",
"EnumerationDate": "06/15/2010",
"LastUpdateDate": "03/24/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CERISE",
"AuthorizedOfficialFirstName": "FREDERICK",
"AuthorizedOfficialMiddleName": "P",
"AuthorizedOfficialTitle": "PRESIDENT & CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "214-590-8006",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "139550",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}