{
"Npi": {
"NPI": "1780769091",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DONOHUE",
"FirstName": "MARLA",
"MiddleName": "DANSBY",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "DDS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2117 CENTRAL DR",
"SecondLineMailingAddress": "#100",
"MailingAddressCityName": "BEDFORD",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76021",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "817-267-3449",
"MailingAddressFaxNumber": "817-267-5669",
"FirstLinePracticeLocationAddress": "2117 CENTRAL DR",
"SecondLinePracticeLocationAddress": "#100",
"PracticeLocationAddressCityName": "BEDFORD",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76021",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "817-267-3449",
"PracticeLocationAddressFaxNumber": "817-267-5669",
"EnumerationDate": "10/26/2006",
"LastUpdateDate": "07/08/2007",
"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": "16492",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}