{
"Npi": {
"NPI": "1245650944",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ZACHARY B NORRIS D.D.S. P.S.",
"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": "620 EAST WHIDBEY AVENUE",
"SecondLineMailingAddress": "SUITE #100",
"MailingAddressCityName": "OAK-HARBOR",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98277",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-679-7227",
"MailingAddressFaxNumber": "360-675-7278",
"FirstLinePracticeLocationAddress": "620 EAST WHIDBEY AVENUE",
"SecondLinePracticeLocationAddress": "SUITE #100",
"PracticeLocationAddressCityName": "OAK-HARBOR",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98277",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-679-7227",
"PracticeLocationAddressFaxNumber": "360-675-7278",
"EnumerationDate": "04/21/2014",
"LastUpdateDate": "05/31/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NORRIS",
"AuthorizedOfficialFirstName": "ZACHARY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "360-679-7227",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "DE60093997",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}