{
"Npi": {
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THOMAS R SCHIERBROCK DDS ANDREA L CORDENZANA DDS PLC",
"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": "427 E KANESVILLE BLVD",
"SecondLineMailingAddress": "#200",
"MailingAddressCityName": "CO BLUFFS",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "51503-4403",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "712-322-5318",
"MailingAddressFaxNumber": "712-329-6128",
"FirstLinePracticeLocationAddress": "427 E KANESVILLE BLVD",
"SecondLinePracticeLocationAddress": "#200",
"PracticeLocationAddressCityName": "CO BLUFFS",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "51503-4403",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "712-322-5318",
"PracticeLocationAddressFaxNumber": "712-329-6128",
"EnumerationDate": "06/06/2008",
"LastUpdateDate": "06/06/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHIERBROCK",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": "ROBERT",
"AuthorizedOfficialTitle": "PARTNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "712-322-5318",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "6291",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}