{
"Npi": {
"NPI": "1255454336",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JAMES G ALEXANDER JR DDS MD PLLC",
"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": "228 W TYLER AVE STE 307",
"SecondLineMailingAddress": "P.O. BOX 907",
"MailingAddressCityName": "WEST MEMPHIS",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72303-0907",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "870-735-1152",
"MailingAddressFaxNumber": "870-735-4098",
"FirstLinePracticeLocationAddress": "228 W TYLER AVE",
"SecondLinePracticeLocationAddress": "STE 307",
"PracticeLocationAddressCityName": "WEST MEMPHIS",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72301-4223",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "870-735-1152",
"PracticeLocationAddressFaxNumber": "870-735-4098",
"EnumerationDate": "04/06/2007",
"LastUpdateDate": "11/17/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALEXANDER",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "G",
"AuthorizedOfficialTitle": "PLLC MEMBER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "870-735-1152",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "AR3562",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}