{
"Npi": {
"NPI": "1689165680",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "STEELE",
"FirstName": "KELLYE",
"MiddleName": "LAUREN SUTHERLAND",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DMD, MS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "STEELE",
"OtherFirstName": "KELLYE",
"OtherMiddleName": "LAUREN SUTHERLAND",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "DMD, MS",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "10 CEDAR CV",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPRINGBORO",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45066-9475",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6710 SPRING STUEBNER RD STE 700",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SPRING",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77389-5197",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "281-791-0043",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/24/2018",
"LastUpdateDate": "08/24/2022",
"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": "38351",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "390200000X",
"TaxonomyName": "Student in an Organized Health Care Education/Training Program",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "38351",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}