{
"Npi": {
"NPI": "1245691872",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "WILLIAM JARROD GREGG, DDS",
"ParentOrgTIN": null,
"OrgName": "SWEET DREAMS I LLC",
"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": "1148 LOGAN SEWELL DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VIDALIA",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "71373-3342",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "318-336-5711",
"MailingAddressFaxNumber": "318-336-5714",
"FirstLinePracticeLocationAddress": "1148 LOGAN SEWELL DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VIDALIA",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "71373-3342",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "318-336-5711",
"PracticeLocationAddressFaxNumber": "318-336-5714",
"EnumerationDate": "03/09/2016",
"LastUpdateDate": "03/09/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GREGG",
"AuthorizedOfficialFirstName": "WILLIAM",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "SOLE MEMBER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "318-336-5711",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BC3200X",
"TaxonomyName": "Customized Equipment (DME)",
"LicenseNumber": "5476",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}