{
"Npi": {
"NPI": "1619408200",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HODSON & MEISTER, P.A.",
"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": "3000 ISLAND BLVD",
"SecondLineMailingAddress": "APT 1402",
"MailingAddressCityName": "AVENTURA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33160-4923",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-725-8907",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "18333 NE 19TH AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTH MIAMI BEACH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33179-5031",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-725-8907",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/24/2017",
"LastUpdateDate": "03/24/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HODSON",
"AuthorizedOfficialFirstName": "SHANE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "305-725-8907",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "DN21710",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}