{
"Npi": {
"NPI": "1093274763",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LEAH M. BUTLER, DDS, LLC",
"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": "15684 PINEWOOD DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STRONGSVILLE",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44149-5623",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "330-933-8705",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "16000 PEARL RD STE 10",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STRONGSVILLE",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44136-6084",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "440-238-4456",
"PracticeLocationAddressFaxNumber": "440-878-9127",
"EnumerationDate": "03/13/2019",
"LastUpdateDate": "03/13/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BUTLER",
"AuthorizedOfficialFirstName": "LEAH",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "330-933-8705",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}