{
"Npi": {
"NPI": "1457691248",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PEDIATRIC PEOPLE PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "11955 DALLAS PKWY",
"SecondLineMailingAddress": "SUITE 400",
"MailingAddressCityName": "FRISCO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75033-4293",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-396-5200",
"MailingAddressFaxNumber": "214-504-1796",
"FirstLinePracticeLocationAddress": "11955 DALLAS PKWY",
"SecondLinePracticeLocationAddress": "SUITE 400",
"PracticeLocationAddressCityName": "FRISCO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75033-4293",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-396-5200",
"PracticeLocationAddressFaxNumber": "214-504-1796",
"EnumerationDate": "02/15/2013",
"LastUpdateDate": "02/15/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LINCK",
"AuthorizedOfficialFirstName": "AUDRA",
"AuthorizedOfficialMiddleName": "RENATA",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "214-396-5200",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "5745",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}