{
"Npi": {
"NPI": "1487167144",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SAPHIRE DENTAL 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": "8439 DAVISTA DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WHITTIER",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90605-1106",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "562-585-5612",
"MailingAddressFaxNumber": "532-270-7012",
"FirstLinePracticeLocationAddress": "5985 FLORENCE AVE STE F",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BELL GARDENS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90201-6747",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "562-309-2423",
"PracticeLocationAddressFaxNumber": "562-270-7012",
"EnumerationDate": "11/15/2017",
"LastUpdateDate": "06/21/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARTINEZ",
"AuthorizedOfficialFirstName": "MARTHA",
"AuthorizedOfficialMiddleName": "BEATRIZ",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BS ,DDS",
"AuthorizedOfficialTelephoneNumber": "562-309-2423",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "58520",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}