{
"Npi": {
"NPI": "1740480847",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CLIFTON C. HIGGINS, D.D.S., P.A.",
"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": "820 E MATTHEWS AVE",
"SecondLineMailingAddress": "SUITE B",
"MailingAddressCityName": "JONESBORO",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72401-3048",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "870-931-3377",
"MailingAddressFaxNumber": "870-931-3377",
"FirstLinePracticeLocationAddress": "820 E MATTHEWS AVE",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "JONESBORO",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72401-3048",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "870-931-3377",
"PracticeLocationAddressFaxNumber": "870-931-3377",
"EnumerationDate": "07/18/2007",
"LastUpdateDate": "02/27/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HIGGINS",
"AuthorizedOfficialFirstName": "LEIANDREA",
"AuthorizedOfficialMiddleName": "LYNN",
"AuthorizedOfficialTitle": "BUSINESS ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BS, RDA",
"AuthorizedOfficialTelephoneNumber": "870-935-7979",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "3096",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X 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."
}
}
}
}