{
"Npi": {
"NPI": "1134717200",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "NGUYEN",
"FirstName": "DANNA",
"MiddleName": "THAO",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "NGUYEN",
"OtherFirstName": "DANNA",
"OtherMiddleName": "THAO",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "SOLE MBR",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "8705 HERON NEST DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77064-1740",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "832-664-0774",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1210 ALLENDALE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PASADENA",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77502-3306",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "832-582-5301",
"PracticeLocationAddressFaxNumber": "832-582-5310",
"EnumerationDate": "01/05/2021",
"LastUpdateDate": "03/24/2022",
"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": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "14586",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}