{
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"OrgName": "RANDY G. ALKIRE,DDS,MS,PC",
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"FirstLineMailingAddress": "1316 JACKIE RD SE",
"SecondLineMailingAddress": "SUITE #300",
"MailingAddressCityName": "RIO RANCHO",
"MailingAddressStateName": "NM",
"MailingAddressPostalCode": "87124-6618",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "505-892-5749",
"MailingAddressFaxNumber": "505-212-0673",
"FirstLinePracticeLocationAddress": "1316 JACKIE RD SE",
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"PracticeLocationAddressCityName": "RIO RANCHO",
"PracticeLocationAddressStateName": "NM",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "505-892-5749",
"PracticeLocationAddressFaxNumber": "505-212-0673",
"EnumerationDate": "10/05/2009",
"LastUpdateDate": "12/14/2016",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALKIRE",
"AuthorizedOfficialFirstName": "RANDY",
"AuthorizedOfficialMiddleName": "GAIL",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "DDS, MS, PC",
"AuthorizedOfficialTelephoneNumber": "505-892-5749",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223X0400X",
"TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
"LicenseNumber": "DD1958",
"LicenseNumberStateCode": "NM",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}