{
"Npi": {
"NPI": "1659710853",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ST. JOHN.",
"FirstName": "RONALD",
"MiddleName": "KINGSLEY",
"NamePrefix": null,
"NameSuffix": "JR.",
"Credential": "D.M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ST. JOHN",
"OtherFirstName": "RON",
"OtherMiddleName": "K",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": "JR.",
"OtherCredential": "D.M.D",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "212 PROUTY DR",
"SecondLineMailingAddress": "SUITE 1",
"MailingAddressCityName": "NEWPORT",
"MailingAddressStateName": "VT",
"MailingAddressPostalCode": "05855-9851",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "802-334-6965",
"MailingAddressFaxNumber": "802-334-6606",
"FirstLinePracticeLocationAddress": "212 PROUTY DR",
"SecondLinePracticeLocationAddress": "SUITE 1",
"PracticeLocationAddressCityName": "NEWPORT",
"PracticeLocationAddressStateName": "VT",
"PracticeLocationAddressPostalCode": "05855-9851",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "802-334-6965",
"PracticeLocationAddressFaxNumber": "802-334-6606",
"EnumerationDate": "06/20/2013",
"LastUpdateDate": "06/20/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "016.0095742",
"LicenseNumberStateCode": "VT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}