{
"Npi": {
"NPI": "1609468313",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALLURE DERM AND WELLNESS CENTER LLC",
"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": "91-1033 HAULELE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KAPOLEI",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96707-3235",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "808-450-5175",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "94-216 FARRINGTON HWY STE B209",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WAIPAHU",
"PracticeLocationAddressStateName": "HI",
"PracticeLocationAddressPostalCode": "96797-1922",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "808-200-0209",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/04/2021",
"LastUpdateDate": "02/04/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AKAU",
"AuthorizedOfficialFirstName": "LEHUANANI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/PROVIDER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DNP APRN-RX FNP-BC",
"AuthorizedOfficialTelephoneNumber": "808-450-5175",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}