{
"Npi": {
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "JOE KENESON DDS INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1164 HWY 327 E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SILSBEE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77656-4141",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "409-385-3651",
"MailingAddressFaxNumber": "409-385-9456",
"FirstLinePracticeLocationAddress": "1164 HWY 327 E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SILSBEE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77656-4141",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "409-385-3651",
"PracticeLocationAddressFaxNumber": "409-385-9456",
"EnumerationDate": "11/20/2008",
"LastUpdateDate": "08/13/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KENESON",
"AuthorizedOfficialFirstName": "JOE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "409-385-3651",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "13471",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}