{
"Npi": {
"NPI": "1518983105",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SPURLOCK",
"FirstName": "GRETA",
"MiddleName": "TINGLE",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "R.D.H.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6229 ROCKY TOP DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ANTIOCH",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37013-5656",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "615-306-0851",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1310 24TH AVE S",
"SecondLinePracticeLocationAddress": "160",
"PracticeLocationAddressCityName": "NASHVILLE",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37212-2637",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "615-327-5321",
"PracticeLocationAddressFaxNumber": "615-321-6339",
"EnumerationDate": "07/15/2006",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "124Q00000X",
"TaxonomyName": "Dental Hygienist",
"LicenseNumber": "00768",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}