{
"Npi": {
"NPI": "1114876398",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "STRONG DISABILITY ADVOCATES LLC",
"ParentOrgTIN": null,
"OrgName": "STEFON'S SMILE",
"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": "21149 BAILEYS LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOUTH CHESTERFIELD",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23803-2117",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "804-651-4407",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7400 BEAUFONT SPRING DR STE 322",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTH CHESTERFIELD",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23225-5556",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "804-651-4407",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/22/2026",
"LastUpdateDate": "01/22/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YOUNG-CHAVEZ",
"AuthorizedOfficialFirstName": "SHAREEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "YOUNG-CHAVEZ",
"AuthorizedOfficialTelephoneNumber": "804-651-4407",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251V00000X",
"TaxonomyName": "Voluntary or Charitable Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}