{
"Npi": {
"NPI": "1477096212",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DENTAL & DENTURES PITTSBURGH INC",
"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": "8700 PENNSYLVANIA AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "N HUNTINGDON",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15642-2762",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "724-864-0070",
"MailingAddressFaxNumber": "724-864-8520",
"FirstLinePracticeLocationAddress": "8700 PENNSYLVANIA AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "N HUNTINGDON",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "15642-2762",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "724-864-0070",
"PracticeLocationAddressFaxNumber": "724-864-8520",
"EnumerationDate": "11/28/2016",
"LastUpdateDate": "11/28/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CLOSINSKI",
"AuthorizedOfficialFirstName": "DOUGLAS",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "518-376-6328",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": null,
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"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."
}
}
}
}