{
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"NPI": "1417587411",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DEVIN K RENTZ DDS PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6285 SAPPHIRE POINTE BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CASTLE ROCK",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80108-7895",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-289-9282",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "17021 LINCOLN AVE UNIT B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PARKER",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80134-3146",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "720-851-7069",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/19/2020",
"LastUpdateDate": "01/19/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RENTZ",
"AuthorizedOfficialFirstName": "DEVIN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "720-851-7069",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}