{
"Npi": {
"NPI": "1487070850",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BRIAN S. GLAZIER, DDS, P.C.",
"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": "1760 N MAIN ST",
"SecondLineMailingAddress": "SUITE 106",
"MailingAddressCityName": "CEDAR CITY",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84721-7775",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "435-867-0644",
"MailingAddressFaxNumber": "435-867-0645",
"FirstLinePracticeLocationAddress": "1760 N MAIN ST",
"SecondLinePracticeLocationAddress": "SUITE 106",
"PracticeLocationAddressCityName": "CEDAR CITY",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84721-7775",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "435-867-0644",
"PracticeLocationAddressFaxNumber": "435-867-0645",
"EnumerationDate": "03/10/2014",
"LastUpdateDate": "03/10/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GLAZIER",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": "S",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "435-867-0644",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "8807255-0144",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}