{
"Npi": {
"NPI": "1386000552",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SAAVEDRA",
"FirstName": "ILIANA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "D.D.S",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "158 ARNOLD AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CRANSTON",
"MailingAddressStateName": "RI",
"MailingAddressPostalCode": "02905-3816",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "361-563-0168",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "888 BROADWAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EAST PROVIDENCE",
"PracticeLocationAddressStateName": "RI",
"PracticeLocationAddressPostalCode": "02914-3742",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "401-228-3999",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/04/2016",
"LastUpdateDate": "01/29/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "DEN03308",
"LicenseNumberStateCode": "RI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}