{
"Npi": {
"NPI": "1245609577",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WOODS",
"FirstName": "PHILLIP",
"MiddleName": "DEXTER",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "D.D.S., M.P.H",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1155 RIPLEY ST",
"SecondLineMailingAddress": "APARTMENT 2105",
"MailingAddressCityName": "SILVER SPRING",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20910-7438",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "619-204-4076",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "WALTER REED NATIONAL MILITARY CTR",
"SecondLinePracticeLocationAddress": "BUILDING 2, ROOM 2661, 8960 BROWN DRIVE",
"PracticeLocationAddressCityName": "BETHESDA",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20889-0001",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-295-4011",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/16/2015",
"LastUpdateDate": "09/16/2015",
"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": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "16041",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}