{
"Npi": {
"NPI": "1619322195",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EDWARD E. SHERRILL, DDS, INC.",
"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": "8500 W MARKHAM ST",
"SecondLineMailingAddress": "SUITE 330",
"MailingAddressCityName": "LITTLE ROCK",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72205-2453",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "501-217-8700",
"MailingAddressFaxNumber": "501-217-8744",
"FirstLinePracticeLocationAddress": "8500 W MARKHAM ST",
"SecondLinePracticeLocationAddress": "SUITE 330",
"PracticeLocationAddressCityName": "LITTLE ROCK",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72205-2453",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "501-217-8700",
"PracticeLocationAddressFaxNumber": "501-217-8744",
"EnumerationDate": "05/03/2016",
"LastUpdateDate": "05/03/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHERRILL",
"AuthorizedOfficialFirstName": "MARCIE",
"AuthorizedOfficialMiddleName": "ANNE",
"AuthorizedOfficialTitle": "OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "501-217-8700",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "305R00000X",
"TaxonomyName": "Preferred Provider Organization",
"LicenseNumber": "2949",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}