{
"Npi": {
"NPI": "1275131013",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ELDEN M RICE DDS PC",
"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": "3712 CANYON LAKE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RAPID CITY",
"MailingAddressStateName": "SD",
"MailingAddressPostalCode": "57702-3198",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "605-342-3939",
"MailingAddressFaxNumber": "605-341-2766",
"FirstLinePracticeLocationAddress": "3712 CANYON LAKE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RAPID CITY",
"PracticeLocationAddressStateName": "SD",
"PracticeLocationAddressPostalCode": "57702-3198",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "605-342-3939",
"PracticeLocationAddressFaxNumber": "605-341-2766",
"EnumerationDate": "10/14/2020",
"LastUpdateDate": "10/14/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RICE",
"AuthorizedOfficialFirstName": "ELDEN",
"AuthorizedOfficialMiddleName": "MURRAY",
"AuthorizedOfficialTitle": "OWNER/ DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": "I",
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "707-280-3506",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}