{
"Npi": {
"NPI": "1417519828",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KEY",
"FirstName": "SARAH",
"MiddleName": "ANN",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DMD MS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "JESTEL",
"OtherFirstName": "SARAH",
"OtherMiddleName": "ANN",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "DMD MS",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "630 SOLON RD APT 3205",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WAXAHACHIE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75165-1633",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-595-5607",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1618 US-287 BUS",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WAXAHACHIE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75165",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "469-773-4075",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/05/2019",
"LastUpdateDate": "07/05/2019",
"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": "35274",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}