{
"Npi": {
"NPI": "1851750608",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ONYX AND DEDICATED DENTAL SERVICES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "645 GRISWOLD ST",
"SecondLineMailingAddress": "SUITE 224",
"MailingAddressCityName": "DETROIT",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48226-4105",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "313-263-0230",
"MailingAddressFaxNumber": "313-263-0320",
"FirstLinePracticeLocationAddress": "645 GRISWOLD ST",
"SecondLinePracticeLocationAddress": "SUITE 224",
"PracticeLocationAddressCityName": "DETROIT",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48226-4105",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "313-263-0230",
"PracticeLocationAddressFaxNumber": "313-263-0320",
"EnumerationDate": "02/22/2016",
"LastUpdateDate": "02/22/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HALL",
"AuthorizedOfficialFirstName": "SHEILA",
"AuthorizedOfficialMiddleName": "D.",
"AuthorizedOfficialTitle": "DENTAL HYGIENIST/OFFICE ADMINISTRAT",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.D.H.",
"AuthorizedOfficialTelephoneNumber": "248-763-3384",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "305R00000X",
"TaxonomyName": "Preferred Provider Organization",
"LicenseNumber": "2902003560",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}