{
"Npi": {
"NPI": "1043629827",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DIEP H. LE, DDS. DENTAL CORP II",
"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": "195 MERIDIAN ST",
"SecondLineMailingAddress": "A-5",
"MailingAddressCityName": "HOLLISTER",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95023-2221",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "831-630-5720",
"MailingAddressFaxNumber": "831-630-5721",
"FirstLinePracticeLocationAddress": "195 MERIDIAN ST",
"SecondLinePracticeLocationAddress": "A-5",
"PracticeLocationAddressCityName": "HOLLISTER",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95023-2221",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "831-630-5720",
"PracticeLocationAddressFaxNumber": "831-630-5721",
"EnumerationDate": "08/06/2014",
"LastUpdateDate": "08/06/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LE",
"AuthorizedOfficialFirstName": "DIEP",
"AuthorizedOfficialMiddleName": "HONG",
"AuthorizedOfficialTitle": "DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "830-630-5720",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "43033",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}