{
"Npi": {
"NPI": "1841512613",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BROWN",
"FirstName": "RANDAL",
"MiddleName": "HAYES",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DDS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CARE",
"OtherFirstName": "STRASBURG",
"OtherMiddleName": "DENTAL",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "205 MILLER STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STRASBURG",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17579",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-687-9366",
"MailingAddressFaxNumber": "717-687-9556",
"FirstLinePracticeLocationAddress": "205 MILLER STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STRASBURG",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "17579",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-687-9366",
"PracticeLocationAddressFaxNumber": "717-687-9556",
"EnumerationDate": "02/22/2010",
"LastUpdateDate": "02/22/2010",
"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": "DS021206-L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}