{
"Npi": {
"NPI": "1568648517",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ALSHEIKH",
"FirstName": "ADAM",
"MiddleName": null,
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "D.D.S",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ALSHEIKH",
"OtherFirstName": "ADAM",
"OtherMiddleName": "M",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "D.D.S.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "P.O. BOX 41297",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BAKERSFIELD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93384",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "661-912-5298",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4000 AMUR MAPLE DR.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BAKERSFIELD",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93311",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "661-912-5298",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/20/2008",
"LastUpdateDate": "11/25/2014",
"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": "51862",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}