{
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"IsOrgSubpart": "N",
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"ParentOrgTIN": null,
"OrgName": "NISHIOKA FAMILY DENTAL",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "719 KAMEHAMEHA HWY STE A201",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PEARL CITY",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96782-2771",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "808-455-3845",
"MailingAddressFaxNumber": "808-455-6606",
"FirstLinePracticeLocationAddress": "719 KAMEHAMEHA HWY STE A201",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PEARL CITY",
"PracticeLocationAddressStateName": "HI",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "808-455-3845",
"PracticeLocationAddressFaxNumber": "808-455-6606",
"EnumerationDate": "09/27/2021",
"LastUpdateDate": "09/27/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NISHIOKA",
"AuthorizedOfficialFirstName": "JULIA",
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"AuthorizedOfficialTitle": "PARTNER",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "808-455-3845",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}