{
"Npi": {
"NPI": "1750634499",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "DESIGN DENTAL GROUP PLLC",
"ParentOrgTIN": null,
"OrgName": "DESIGN DENTAL GROUP II PLLC",
"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": "4500 WASHINGTON AVE",
"SecondLineMailingAddress": "SUITE 700",
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77007",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "713-869-0334",
"MailingAddressFaxNumber": "713-869-0339",
"FirstLinePracticeLocationAddress": "9738 KATY FREEWAY",
"SecondLinePracticeLocationAddress": "SUITE 400",
"PracticeLocationAddressCityName": "HOUSTON",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77055",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "713-365-0334",
"PracticeLocationAddressFaxNumber": "713-973-2251",
"EnumerationDate": "10/18/2012",
"LastUpdateDate": "10/18/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BIBB",
"AuthorizedOfficialFirstName": "MELANIE",
"AuthorizedOfficialMiddleName": "T",
"AuthorizedOfficialTitle": "OWNER/ DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "713-365-0334",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "22708",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}