{
"Npi": {
"NPI": "1598897597",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KOCH",
"FirstName": "DIANA",
"MiddleName": "L",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.M.D",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "919 CHAMBERS BLVD",
"SecondLineMailingAddress": "STE A",
"MailingAddressCityName": "BARDSTOWN",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40004-2573",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "502-348-6404",
"MailingAddressFaxNumber": "502-348-6342",
"FirstLinePracticeLocationAddress": "919 CHAMBERS BLVD",
"SecondLinePracticeLocationAddress": "STE A",
"PracticeLocationAddressCityName": "BARDSTOWN",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "40004-2573",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "502-348-6404",
"PracticeLocationAddressFaxNumber": "502-348-6342",
"EnumerationDate": "03/12/2007",
"LastUpdateDate": "07/09/2007",
"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": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "7470",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}