{
"Npi": {
"NPI": "1437395670",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MAHESH R DAVE MD-NALINI M DAVE MD & ASSOCIATES",
"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": "1201D BRIARCREST DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRYAN",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77802-5223",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "979-776-5600",
"MailingAddressFaxNumber": "979-776-6280",
"FirstLinePracticeLocationAddress": "1201D BRIARCREST DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRYAN",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77802-5223",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "979-776-5600",
"PracticeLocationAddressFaxNumber": "979-776-6280",
"EnumerationDate": "12/17/2008",
"LastUpdateDate": "12/17/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAVE",
"AuthorizedOfficialFirstName": "MAHESH",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "979-776-5600",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302R00000X",
"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": "F8457",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}