{
"Npi": {
"NPI": "1194280222",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "BYARS HOLDING PLLC",
"ParentOrgTIN": null,
"OrgName": "BYARS HOLDING PLLC",
"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": "13406 GOLDFINCH DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKEWOOD RANCH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34202-8276",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "586-909-1319",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3140 S FALKENBURG RD STE 204",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RIVERVIEW",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33578-2594",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "813-906-0001",
"PracticeLocationAddressFaxNumber": "813-906-0163",
"EnumerationDate": "02/03/2019",
"LastUpdateDate": "02/03/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BYARS",
"AuthorizedOfficialFirstName": "MATTHEW",
"AuthorizedOfficialMiddleName": "CARL",
"AuthorizedOfficialTitle": "OWNER/ DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "586-909-1319",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}