{
"Npi": {
"NPI": "1780836106",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ST THOMAS ORAL AND FACIAL HEALTHCARE CENTER, LLC",
"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": "9149 ESTATE THOMAS",
"SecondLineMailingAddress": "SUITE # 201",
"MailingAddressCityName": "ST THOMAS",
"MailingAddressStateName": "VI",
"MailingAddressPostalCode": "00802-2615",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "340-777-5950",
"MailingAddressFaxNumber": "340-775-4172",
"FirstLinePracticeLocationAddress": "9149 ESTATE THOMAS",
"SecondLinePracticeLocationAddress": "SUITE # 201",
"PracticeLocationAddressCityName": "ST THOMAS",
"PracticeLocationAddressStateName": "VI",
"PracticeLocationAddressPostalCode": "00802-2615",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "340-777-5950",
"PracticeLocationAddressFaxNumber": "340-775-4172",
"EnumerationDate": "10/16/2008",
"LastUpdateDate": "10/16/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GRIFFITH",
"AuthorizedOfficialFirstName": "HORACE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "340-777-5950",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QS0112X",
"TaxonomyName": "Oral and Maxillofacial Surgery Clinic/Center",
"LicenseNumber": "1057",
"LicenseNumberStateCode": "VI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}