{
"Npi": {
"NPI": "1275963019",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DEANNA S MASTER MD 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": "46274 PICKFORD ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTHVILLE",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48168-1817",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-380-2868",
"MailingAddressFaxNumber": "248-987-1118",
"FirstLinePracticeLocationAddress": "24110 MEADOWBROOK RD",
"SecondLinePracticeLocationAddress": "SUITE #100",
"PracticeLocationAddressCityName": "NOVI",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48375-3459",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "248-987-1119",
"PracticeLocationAddressFaxNumber": "248-987-1118",
"EnumerationDate": "11/14/2013",
"LastUpdateDate": "02/19/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MASTER",
"AuthorizedOfficialFirstName": "DEANNA",
"AuthorizedOfficialMiddleName": "SUSAN",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "248-380-2868",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "4301059342",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}