{
"Npi": {
"NPI": "1194212134",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TOOTH SPA DENTISTRY",
"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": "831 STERLING PKWY STE 130",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LINCOLN",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95648-7323",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-209-3708",
"MailingAddressFaxNumber": "888-858-1377",
"FirstLinePracticeLocationAddress": "831 STERLING PKWY STE 130",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LINCOLN",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95648-7323",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "916-209-3708",
"PracticeLocationAddressFaxNumber": "888-858-1377",
"EnumerationDate": "04/16/2018",
"LastUpdateDate": "04/16/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HERMO",
"AuthorizedOfficialFirstName": "IRENE",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "OWNER, DENTIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "916-209-3708",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "58867",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}