{
"Npi": {
"NPI": "1275951030",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GROWING SMILES OF VOORHEES",
"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": "2140 VOORHEES TOWN CTR",
"SecondLineMailingAddress": "MALL, 2ND FLOOR NEXT TO MACY'S",
"MailingAddressCityName": "VOORHEES",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08043-1911",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2140 VOORHEES TOWN CTR",
"SecondLinePracticeLocationAddress": "MALL, 2ND FLOOR NEXT TO MACY'S",
"PracticeLocationAddressCityName": "VOORHEES",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08043-1911",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "856-770-1770",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/30/2014",
"LastUpdateDate": "06/23/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SEKHON",
"AuthorizedOfficialFirstName": "SONNY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "856-770-1770",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "22DI02337500",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}