{
"Npi": {
"NPI": "1174920110",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHRISTY KENNA FOX, DDS, INC.",
"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": "RR 1 BOX 301F",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HINTON",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "25951-9744",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "304-466-3223",
"MailingAddressFaxNumber": "304-466-4848",
"FirstLinePracticeLocationAddress": "606 STOKES DR",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "HINTON",
"PracticeLocationAddressStateName": "WV",
"PracticeLocationAddressPostalCode": "25951-2554",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "304-466-4700",
"PracticeLocationAddressFaxNumber": "304-466-4848",
"EnumerationDate": "11/19/2014",
"LastUpdateDate": "11/19/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FOX",
"AuthorizedOfficialFirstName": "CHRISTY",
"AuthorizedOfficialMiddleName": "KENNA",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "304-466-4700",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "3333",
"LicenseNumberStateCode": "WV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}