{
"Npi": {
"NPI": "1699950816",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOSKINS DENTAL CORPORATION",
"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": "415 ALTURAS ST",
"SecondLineMailingAddress": "#4",
"MailingAddressCityName": "YUBA CITY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95991-4144",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "530-755-9912",
"MailingAddressFaxNumber": "530-751-0891",
"FirstLinePracticeLocationAddress": "415 ALTURAS ST",
"SecondLinePracticeLocationAddress": "#4",
"PracticeLocationAddressCityName": "YUBA CITY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95991-4144",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "530-755-9912",
"PracticeLocationAddressFaxNumber": "530-751-0891",
"EnumerationDate": "01/07/2008",
"LastUpdateDate": "06/21/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LIPPMAN-HOSKINS",
"AuthorizedOfficialFirstName": "BONITA",
"AuthorizedOfficialMiddleName": "S",
"AuthorizedOfficialTitle": "VICE-PRESIDENT, OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "530-755-9912",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "41459",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "30238",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": [
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
]
}
}
}