{
"Npi": {
"NPI": "1437207099",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CYBELLE LAN-ANH TRAN, DDS, APC",
"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": "1755 DECOTO RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "UNION CITY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94587",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "510-487-8533",
"MailingAddressFaxNumber": "510-487-9390",
"FirstLinePracticeLocationAddress": "1755 DECOTO RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "UNION CITY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94587",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "510-487-8533",
"PracticeLocationAddressFaxNumber": "510-487-9390",
"EnumerationDate": "01/08/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TRAN",
"AuthorizedOfficialFirstName": "CYBELLE",
"AuthorizedOfficialMiddleName": "LAN-ANH",
"AuthorizedOfficialTitle": "DENTIST-OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "510-487-8533",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "305R00000X",
"TaxonomyName": "Preferred Provider Organization",
"LicenseNumber": "43870",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}