{
"Npi": {
"NPI": "1659406007",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CHANG",
"FirstName": "YING-YI",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.D.S., M.S.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CHANG",
"OtherFirstName": "CHRISTINE",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "D.D.S., M.S.",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "288 S SAN GABRIEL BLVD",
"SecondLineMailingAddress": "#205",
"MailingAddressCityName": "SAN GABRIEL",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91776-1667",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-285-6968",
"MailingAddressFaxNumber": "626-285-0618",
"FirstLinePracticeLocationAddress": "288 S SAN GABRIEL BLVD STE 205",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAN GABRIEL",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91776-1668",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-285-6968",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/23/2007",
"LastUpdateDate": "05/16/2008",
"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": "1223P0300X",
"TaxonomyName": "Periodontics",
"LicenseNumber": "45835",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}