{
"Npi": {
"NPI": "1346548245",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "W.K. SMITH & J. A. SMITH, PA",
"ParentOrgTIN": null,
"OrgName": "W. K. SMITH & J. A. SMITH, 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": "136 E BROADWAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BEL AIR",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21014-2904",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-838-6222",
"MailingAddressFaxNumber": "410-893-3691",
"FirstLinePracticeLocationAddress": "136 E BROADWAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BEL AIR",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21014-2904",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-838-6222",
"PracticeLocationAddressFaxNumber": "410-893-3691",
"EnumerationDate": "03/02/2011",
"LastUpdateDate": "03/02/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAMME",
"AuthorizedOfficialFirstName": "SHARON",
"AuthorizedOfficialMiddleName": "ANN",
"AuthorizedOfficialTitle": "OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "410-838-6222",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223P0106X",
"TaxonomyName": "Oral and Maxillofacial Pathology Dentistry",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}