{
"Npi": {
"NPI": "1568784619",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MOUNT JOY DENTAL ASSOCIATES, PC",
"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": "1210 E MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOUNT JOY",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17552-9338",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-928-2653",
"MailingAddressFaxNumber": "717-928-2650",
"FirstLinePracticeLocationAddress": "1210 E MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MOUNT JOY",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "17552-9338",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-928-2653",
"PracticeLocationAddressFaxNumber": "717-928-2650",
"EnumerationDate": "02/17/2010",
"LastUpdateDate": "02/17/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CAWLEY",
"AuthorizedOfficialFirstName": "STEVEN",
"AuthorizedOfficialMiddleName": "D.",
"AuthorizedOfficialTitle": "DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "717-928-2653",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "DS037101",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}