{
"Npi": {
"NPI": "1376941278",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KATHLEEN MARY EDDINGTON, D.D.S., P.C.",
"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": "2221 KINGS FOREST LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FLOWER MOUND",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75028-3568",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-280-7685",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "306 US HWY 377 STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ARGYLE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76226-3958",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "940-464-6664",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/09/2014",
"LastUpdateDate": "12/09/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EDDINGTON",
"AuthorizedOfficialFirstName": "KATHLEEN",
"AuthorizedOfficialMiddleName": "MARY",
"AuthorizedOfficialTitle": "DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "214-280-7685",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "19740",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}