{
"Npi": {
"NPI": "1538682844",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RODRIGUEZ LANTIGUA",
"FirstName": "JOSE",
"MiddleName": "GREGORIO",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DMD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "RODRIGUEZ L",
"OtherFirstName": "JOSE",
"OtherMiddleName": "G",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "DMD",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "1445 RIVER ROCK CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OVIEDO",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32765-6545",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "347-969-3885",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12780 WATERFORD LAKES PKWY STE 105",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ORLANDO",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32828-4501",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "347-969-3885",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/18/2017",
"LastUpdateDate": "07/20/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "DN22925",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "DN22925",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}