{
"Npi": {
"NPI": "1275728495",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BLUE HILL FAMILY & COSMETIC DENTISTRY PA",
"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": "PO BOX 1658",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BLUE HILL",
"MailingAddressStateName": "ME",
"MailingAddressPostalCode": "04614",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "207-374-5398",
"MailingAddressFaxNumber": "207-374-3810",
"FirstLinePracticeLocationAddress": "292 SOUTH STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BLUE HILL",
"PracticeLocationAddressStateName": "ME",
"PracticeLocationAddressPostalCode": "04614",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "207-374-5398",
"PracticeLocationAddressFaxNumber": "207-374-3810",
"EnumerationDate": "09/11/2007",
"LastUpdateDate": "09/11/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "APUNTE",
"AuthorizedOfficialFirstName": "JUAN",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "OWNER DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "207-374-5398",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "3572",
"LicenseNumberStateCode": "ME",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}