{
"Npi": {
"NPI": "1821427832",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JOSEPH D KEYES DDS LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "230 SE CABOT DR STE 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OAK HARBOR",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98277-3700",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-675-2942",
"MailingAddressFaxNumber": "360-675-8289",
"FirstLinePracticeLocationAddress": "230 SE CABOT DR STE 1",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OAK HARBOR",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98277-3700",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-675-2942",
"PracticeLocationAddressFaxNumber": "360-675-8289",
"EnumerationDate": "11/11/2013",
"LastUpdateDate": "11/11/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KEYES",
"AuthorizedOfficialFirstName": "JOSEPH",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "SOLE MEMBER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "360-675-2942",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "60392932",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}