{
"Npi": {
"NPI": "1801959812",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BOUNDS",
"FirstName": "JAMES",
"MiddleName": "DAVID",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DDS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BOUNDS",
"OtherFirstName": "J",
"OtherMiddleName": "DAVID",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "DDS",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "424 MELISSA DR.",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BILOXI",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39531",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "228-388-1032",
"MailingAddressFaxNumber": "228-388-1032",
"FirstLinePracticeLocationAddress": "5503 MARVIN SHIELDS BLVD.",
"SecondLinePracticeLocationAddress": "NAVAL BRANCH HEALTH CLINIC",
"PracticeLocationAddressCityName": "GULFPORT",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39501",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "228-871-2606",
"PracticeLocationAddressFaxNumber": "228-388-9552",
"EnumerationDate": "12/19/2006",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "179378",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}