{
"Npi": {
"NPI": "1679759351",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DANG",
"FirstName": "M.",
"MiddleName": "MARIE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.M.D., M.S.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DANG",
"OtherFirstName": "MYDZUNG",
"OtherMiddleName": "MARIE",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "D.M.D., M.S.",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "3100 PRINCETON PIKE",
"SecondLineMailingAddress": "BUILDING 1, SUITE C",
"MailingAddressCityName": "LAWRENCEVILLE",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08648-2300",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-896-0333",
"MailingAddressFaxNumber": "609-896-0880",
"FirstLinePracticeLocationAddress": "3100 PRINCETON PIKE",
"SecondLinePracticeLocationAddress": "BUILDING 1, SUITE C",
"PracticeLocationAddressCityName": "LAWRENCEVILLE",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08648-2300",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-896-0333",
"PracticeLocationAddressFaxNumber": "609-896-0880",
"EnumerationDate": "01/13/2008",
"LastUpdateDate": "01/22/2008",
"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": "1223X0400X",
"TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
"LicenseNumber": "22DI02114700",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}