{
"Npi": {
"NPI": "1457643256",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BEXTON",
"FirstName": "TAMARA",
"MiddleName": "CHRISTINE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 790829",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PAIA",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96779-0829",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "808-283-5456",
"MailingAddressFaxNumber": "808-873-8097",
"FirstLinePracticeLocationAddress": "81 MAKAWAO AVE",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "MAKAWAO",
"PracticeLocationAddressStateName": "HI",
"PracticeLocationAddressPostalCode": "96768-8895",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "808-572-9461",
"PracticeLocationAddressFaxNumber": "808-572-8323",
"EnumerationDate": "05/11/2011",
"LastUpdateDate": "05/11/2011",
"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": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "2428",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}