{
"Npi": {
"NPI": "1710354006",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SUMMY A ABBASSI DDS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5807 TOPANGA CANYON BLVD APT B308",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WOODLAND HILLS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91367-4657",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "19458 VENTURA BLVD STE 10",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TARZANA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91356-3037",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-930-6190",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/21/2015",
"LastUpdateDate": "07/25/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ABBASSI",
"AuthorizedOfficialFirstName": "SUMMY",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "818-642-5427",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "64835",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}