{
"Npi": {
"NPI": "1396755476",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TINKER",
"FirstName": "TERRY",
"MiddleName": "W",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DDS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "TINKER",
"OtherFirstName": "TERRY",
"OtherMiddleName": "W",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "DDS PC",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "6565 SO YALE",
"SecondLineMailingAddress": "SUITE 603",
"MailingAddressCityName": "TULSA",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74136",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-492-3681",
"MailingAddressFaxNumber": "918-492-3222",
"FirstLinePracticeLocationAddress": "6565 SO YALE",
"SecondLinePracticeLocationAddress": "SUITE 603",
"PracticeLocationAddressCityName": "TULSA",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "74136",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-492-3681",
"PracticeLocationAddressFaxNumber": "918-492-3222",
"EnumerationDate": "08/09/2006",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"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": "4942",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}