{
"Npi": {
"NPI": "1801204557",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ODDEN",
"FirstName": "HEIDI",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RDH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7665 US HIGHWAY 2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "IRON RIVER",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "54847-4690",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "715-372-5001",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7665 US HIGHWAY 2",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "IRON RIVER",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "54847-4690",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "715-372-5001",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/25/2014",
"LastUpdateDate": "07/25/2014",
"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": "124Q00000X",
"TaxonomyName": "Dental Hygienist",
"LicenseNumber": "10896-16",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}