{
"Npi": {
"NPI": "1114277191",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FAROOQ",
"FirstName": "AYESHA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DDS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "324 MEADOWBROOK DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HUNTINGDON VALLEY",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19006-6809",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "513-593-0190",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "14 MACDAVE BLVD",
"SecondLinePracticeLocationAddress": "GENTLE DENTAL",
"PracticeLocationAddressCityName": "COLLINGDALE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19023",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "513-593-0190",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/17/2012",
"LastUpdateDate": "12/27/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "DS039345",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "390200000X",
"TaxonomyName": "Student in an Organized Health Care Education/Training Program",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}