{
"Npi": {
"NPI": "1457588873",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "BUTTAR INC",
"ParentOrgTIN": null,
"OrgName": "A-ONE DENTISTRY",
"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": "23040 PACIFIC HWY S",
"SecondLineMailingAddress": "SUITE 311",
"MailingAddressCityName": "DES MOINES",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98198-7268",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-878-3111",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "23040 PACIFIC HWY S",
"SecondLinePracticeLocationAddress": "SUITE 311",
"PracticeLocationAddressCityName": "DES MOINES",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98198-7268",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "420-687-8311",
"PracticeLocationAddressFaxNumber": "206-824-2600",
"EnumerationDate": "06/11/2009",
"LastUpdateDate": "06/11/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BUTTAR",
"AuthorizedOfficialFirstName": "BALJINDER",
"AuthorizedOfficialMiddleName": "SINGH",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.D.S",
"AuthorizedOfficialTelephoneNumber": "206-878-3111",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "DE7423",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}