{
"Npi": {
"NPI": "1649851643",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RICARDO FRANK JARA CASTRO 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": "1355 S GAREY AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "POMONA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91766-4412",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-620-4600",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1355 S GAREY AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "POMONA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91766-4412",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "909-620-4600",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/20/2021",
"LastUpdateDate": "04/20/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JARA CASTRO",
"AuthorizedOfficialFirstName": "RICARDO",
"AuthorizedOfficialMiddleName": "F.",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "909-539-3506",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}