{
"Npi": {
"NPI": "1477808616",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "DR. DANIEL ZEDEKER",
"ParentOrgTIN": null,
"OrgName": "DR DANIEL ZEDEKER",
"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": "18 ASHFORD AVE",
"SecondLineMailingAddress": "SUITE MM",
"MailingAddressCityName": "DOBBS FERRY",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10522-1823",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-693-6656",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "18 ASHFORD AVE",
"SecondLinePracticeLocationAddress": "SUITE MM",
"PracticeLocationAddressCityName": "DOBBS FERRY",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10522-1823",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-693-6656",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/13/2012",
"LastUpdateDate": "07/13/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZEDEKER",
"AuthorizedOfficialFirstName": "DANIEL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "QWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "914-693-6656",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "1-37965",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}