{
"Npi": {
"NPI": "1245698554",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MYERS",
"FirstName": "ANITA",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.D.S.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MYERS",
"OtherFirstName": "ANITA",
"OtherMiddleName": "C. TONKING",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "D.D.S.",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "134 MENGER SPGS",
"SecondLineMailingAddress": "#1310",
"MailingAddressCityName": "BOERNE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78006-7218",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "830-816-5160",
"MailingAddressFaxNumber": "830-282-6794",
"FirstLinePracticeLocationAddress": "134 MENGER SPGS",
"SecondLinePracticeLocationAddress": "#1310",
"PracticeLocationAddressCityName": "BOERNE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78006-7218",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "830-816-5160",
"PracticeLocationAddressFaxNumber": "830-282-6794",
"EnumerationDate": "02/01/2016",
"LastUpdateDate": "03/09/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "13956",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}