{
"Npi": {
"NPI": "1396125779",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SCOTT S. JOHNSON D.D.S., PLLC",
"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": "7325 S PIERCE ST",
"SecondLineMailingAddress": "SUITE 104",
"MailingAddressCityName": "LITTLETON",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80128-4553",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "303-979-0229",
"MailingAddressFaxNumber": "303-979-1514",
"FirstLinePracticeLocationAddress": "7325 S PIERCE ST",
"SecondLinePracticeLocationAddress": "SUITE 104",
"PracticeLocationAddressCityName": "LITTLETON",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80128-4553",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "303-979-0229",
"PracticeLocationAddressFaxNumber": "303-979-1514",
"EnumerationDate": "06/01/2015",
"LastUpdateDate": "06/01/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSON",
"AuthorizedOfficialFirstName": "SCOTT",
"AuthorizedOfficialMiddleName": "STOLLE",
"AuthorizedOfficialTitle": "OWNER/DR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "303-979-0229",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "305S00000X",
"TaxonomyName": "Point of Service",
"LicenseNumber": "6594",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}