{
"Npi": {
"NPI": "1386779239",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DELICATE DENTAL OF MARYLAND, P.C.",
"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": "1071 MD RT 3 N",
"SecondLineMailingAddress": "SUITE 201",
"MailingAddressCityName": "GAMBRILLS",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21054-1784",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-721-8777",
"MailingAddressFaxNumber": "410-721-5153",
"FirstLinePracticeLocationAddress": "1071 MD RT 3 N",
"SecondLinePracticeLocationAddress": "SUITE 201",
"PracticeLocationAddressCityName": "GAMBRILLS",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21054-1784",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-721-8777",
"PracticeLocationAddressFaxNumber": "410-721-5153",
"EnumerationDate": "02/22/2007",
"LastUpdateDate": "03/14/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARBARO",
"AuthorizedOfficialFirstName": "ANTONINO",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DENTIST OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "410-721-8777",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "MD 11133",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}