{
"Npi": {
"NPI": "1144745076",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SHALIKAR",
"FirstName": "MASTANE",
"MiddleName": "M",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RDHAP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HEIKALY",
"OtherFirstName": "MASTANEH",
"OtherMiddleName": "SHALIKAR",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "10683 HOLMAN AVE APT 5",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90024-5957",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-696-1926",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10683 HOLMAN AVE",
"SecondLinePracticeLocationAddress": "#5",
"PracticeLocationAddressCityName": "LOS ANGELES",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90024",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-696-1926",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/11/2017",
"LastUpdateDate": "07/21/2022",
"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": "124Q00000X",
"TaxonomyName": "Dental Hygienist",
"LicenseNumber": "650",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}