{
"Npi": {
"NPI": "1265744098",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "YI",
"FirstName": "AMERLIE",
"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": "48 BABCOCK ST",
"SecondLineMailingAddress": "APT. 1",
"MailingAddressCityName": "BROOKLINE",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02446-5979",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "617-777-2470",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1811 CENTRE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEST ROXBURY",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "02132-1945",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "617-325-0065",
"PracticeLocationAddressFaxNumber": "617-325-1683",
"EnumerationDate": "07/09/2010",
"LastUpdateDate": "07/13/2011",
"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": "DL11001",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "DN1855751",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}