{
"Npi": {
"NPI": "1811919046",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GELLER",
"FirstName": "ALAN",
"MiddleName": "FREDERIC",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DMD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1850",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HEMPSTEAD",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11551-1850",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-572-8774",
"MailingAddressFaxNumber": "516-572-6059",
"FirstLinePracticeLocationAddress": "2201 HEMPSTEAD TPKE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EAST MEADOW",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11554-1859",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-572-8774",
"PracticeLocationAddressFaxNumber": "516-572-6059",
"EnumerationDate": "07/24/2006",
"LastUpdateDate": "04/10/2008",
"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": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "030585",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}