{
"Npi": {
"NPI": "1356699094",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SHAWANA PATTERSON, DDS, PA",
"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": "801 PHILLIPS AVE STE 105",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HIGH POINT",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27262-7293",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "336-812-3104",
"MailingAddressFaxNumber": "336-812-3105",
"FirstLinePracticeLocationAddress": "801 PHILLIPS AVE STE 105",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HIGH POINT",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27262-7293",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "336-812-3104",
"PracticeLocationAddressFaxNumber": "336-812-3105",
"EnumerationDate": "08/28/2012",
"LastUpdateDate": "09/11/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PATTERSON",
"AuthorizedOfficialFirstName": "SHAWANA",
"AuthorizedOfficialMiddleName": "N",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "202-607-1535",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QS0112X",
"TaxonomyName": "Oral and Maxillofacial Surgery Clinic/Center",
"LicenseNumber": "9248",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}