{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BRIAN LEE, DMD, PC",
"LastName": null,
"FirstName": null,
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"NameSuffix": null,
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"FirstLineMailingAddress": "301 OXFORD VALLEY RD",
"SecondLineMailingAddress": "SUITE 601A",
"MailingAddressCityName": "YARDLEY",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19067-7706",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-550-7186",
"MailingAddressFaxNumber": "215-646-6166",
"FirstLinePracticeLocationAddress": "301 OXFORD VALLEY RD",
"SecondLinePracticeLocationAddress": "SUITE 601A",
"PracticeLocationAddressCityName": "YARDLEY",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19067-7706",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-550-7186",
"PracticeLocationAddressFaxNumber": "215-646-6166",
"EnumerationDate": "09/22/2014",
"LastUpdateDate": "09/22/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEE",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "215-550-7186",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223X0400X",
"TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
"LicenseNumber": "DS038507",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}