{
"Npi": {
"NPI": "1821322660",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HAPPY TOOTH DENTAL GROUP OF SKIATOOK P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5265 W ROGERS BLVD STE C",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SKIATOOK",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74070-5200",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-396-7766",
"MailingAddressFaxNumber": "918-396-7767",
"FirstLinePracticeLocationAddress": "5265 W ROGERS BLVD STE C",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SKIATOOK",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "74070-5200",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-396-7766",
"PracticeLocationAddressFaxNumber": "918-396-7767",
"EnumerationDate": "09/28/2009",
"LastUpdateDate": "09/28/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VANDIVER",
"AuthorizedOfficialFirstName": "JONAH",
"AuthorizedOfficialMiddleName": "R.B.",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "918-396-7766",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "5392",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
}
}
}