{
"Npi": {
"NPI": "1699080432",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JAMES W HALLIDAY JR DMD LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "908 HIGHLAND AVE STE 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KENAI",
"MailingAddressStateName": "AK",
"MailingAddressPostalCode": "99611-8051",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "907-283-0454",
"MailingAddressFaxNumber": "907-283-0456",
"FirstLinePracticeLocationAddress": "908 HIGHLAND AVE STE 2",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KENAI",
"PracticeLocationAddressStateName": "AK",
"PracticeLocationAddressPostalCode": "99611-8051",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "907-283-0454",
"PracticeLocationAddressFaxNumber": "907-283-0456",
"EnumerationDate": "08/17/2010",
"LastUpdateDate": "08/17/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HALLIDAY",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "W",
"AuthorizedOfficialTitle": "DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "907-283-0454",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "D1148",
"LicenseNumberStateCode": "AK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}