{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "STEVEN D. MELTZNER, DMD, PLLC",
"LastName": null,
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"FirstLineMailingAddress": "4140 W MEMORIAL RD",
"SecondLineMailingAddress": "SUITE 201",
"MailingAddressCityName": "OKLAHOMA CITY",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73120-8366",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-749-4267",
"MailingAddressFaxNumber": "405-749-4269",
"FirstLinePracticeLocationAddress": "4140 W MEMORIAL RD",
"SecondLinePracticeLocationAddress": "SUITE 201",
"PracticeLocationAddressCityName": "OKLAHOMA CITY",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73120-8366",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-749-4267",
"PracticeLocationAddressFaxNumber": "405-749-4269",
"EnumerationDate": "01/22/2014",
"LastUpdateDate": "01/22/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MELTZNER",
"AuthorizedOfficialFirstName": "STEVEN",
"AuthorizedOfficialMiddleName": "D.",
"AuthorizedOfficialTitle": "MANAGING PARTNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DMD, PLLC",
"AuthorizedOfficialTelephoneNumber": "310-800-5797",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223S0112X",
"TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
"LicenseNumber": "3690",
"LicenseNumberStateCode": "OK",
"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."
}
}
}
}