{
"Npi": {
"NPI": "1245534809",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DANE STEFFEN, DDS PROF LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3220 W 57TH ST",
"SecondLineMailingAddress": "SUITE 115",
"MailingAddressCityName": "SIOUX FALLS",
"MailingAddressStateName": "SD",
"MailingAddressPostalCode": "57108-3145",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "605-275-3773",
"MailingAddressFaxNumber": "605-275-3780",
"FirstLinePracticeLocationAddress": "3220 W 57TH ST",
"SecondLinePracticeLocationAddress": "SUITE 115",
"PracticeLocationAddressCityName": "SIOUX FALLS",
"PracticeLocationAddressStateName": "SD",
"PracticeLocationAddressPostalCode": "57108-3145",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "605-275-3773",
"PracticeLocationAddressFaxNumber": "605-275-3780",
"EnumerationDate": "12/22/2010",
"LastUpdateDate": "12/22/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STEFFEN",
"AuthorizedOfficialFirstName": "DANE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "605-321-8943",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "D0640",
"LicenseNumberStateCode": "SD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}