{
"Npi": {
"NPI": "1336044361",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CENTRAL VALLEY DENTAL HYGIENE PRACTICE OF N. RODRIGUEZ, RDHAP INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1077 N WILLOW AVE STE 105",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CLOVIS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93611-4411",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "559-690-6651",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4007 N MARKS AVE STE 102",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FRESNO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93722-4555",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "559-690-6651",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/09/2026",
"LastUpdateDate": "10/09/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RODRIGUEZ",
"AuthorizedOfficialFirstName": "NANCY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "REGISTERED DENTAL HYGIENE",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RDHAP",
"AuthorizedOfficialTelephoneNumber": "559-690-6651",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "124Q00000X",
"TaxonomyName": "Dental Hygienist",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}