{
"Npi": {
"NPI": "1174916050",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SUNHEART DENTAL",
"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": "628 SW 5TH AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORT LAUDERDALE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33315-1024",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-294-2363",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "801 S FEDERAL HWY",
"SecondLinePracticeLocationAddress": "SUITE #829",
"PracticeLocationAddressCityName": "DANIA BEACH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33004-4374",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-925-2977",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/16/2015",
"LastUpdateDate": "03/16/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PINNOCK",
"AuthorizedOfficialFirstName": "ALYSSA",
"AuthorizedOfficialMiddleName": "HILLMAN",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.M.D.",
"AuthorizedOfficialTelephoneNumber": "954-294-2363",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "DN17610",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}