{
"Npi": {
"NPI": "1730226119",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SHIPLEY",
"FirstName": "CAROL",
"MiddleName": "ANN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DDS MPH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SHIPLEY",
"OtherFirstName": "CAROL",
"OtherMiddleName": "ANN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "DDS MPH",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "140 DAMERON AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KNOXVILLE",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37917-6413",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "865-215-5110",
"MailingAddressFaxNumber": "865-215-5117",
"FirstLinePracticeLocationAddress": "140 DAMERON AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KNOXVILLE",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37917-6413",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "865-215-5110",
"PracticeLocationAddressFaxNumber": "865-215-5117",
"EnumerationDate": "02/01/2007",
"LastUpdateDate": "09/28/2011",
"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": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "255301",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}