{
"Npi": {
"NPI": "1669732798",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HAPPEL",
"FirstName": "JOSEPH",
"MiddleName": "PAUL",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "423 READING AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROCKVILLE",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20850-1520",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "508-527-3397",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "NAVY MEDICINE SUPPORT COMMAND",
"SecondLinePracticeLocationAddress": "BLDG H 2005 KNIGHT LANE",
"PracticeLocationAddressCityName": "FPO",
"PracticeLocationAddressStateName": "AA",
"PracticeLocationAddressPostalCode": "32212-0140",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "508-527-3397",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/23/2012",
"LastUpdateDate": "01/11/2021",
"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": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "D87201",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}