{
"Npi": {
"NPI": "1669870622",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SARE",
"FirstName": "MARY",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DVM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "JAMES",
"OtherFirstName": "MARY",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "DVM",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "23605 OEHLMANN PARK RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CONIFER",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80433-4504",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "303-697-4864",
"MailingAddressFaxNumber": "303-697-5010",
"FirstLinePracticeLocationAddress": "23605 OEHLMANN PARK RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CONIFER",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80433-4504",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "303-697-4864",
"PracticeLocationAddressFaxNumber": "303-697-5010",
"EnumerationDate": "12/08/2014",
"LastUpdateDate": "12/08/2014",
"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": "174M00000X",
"TaxonomyName": "Veterinarian",
"LicenseNumber": "8258",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}