{
"Npi": {
"NPI": "1205804804",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GOODFRIEND",
"FirstName": "DAVID",
"MiddleName": "PETER",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "20049 FOREST FARM LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ASHBURN",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "20147-3129",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-771-5829",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1 HARRISON ST SE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LEESBURG",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "20175-3102",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-771-5829",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/09/2006",
"LastUpdateDate": "02/09/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2083P0901X",
"TaxonomyName": "Public Health & General Preventive Medicine Physician",
"LicenseNumber": "0101222260",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}