{
"Npi": {
"NPI": "1881059236",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LAURING DERMATOLOGY LLC",
"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": "7642 BELAIR RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NOTTINGHAM",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21236-4088",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-665-3093",
"MailingAddressFaxNumber": "410-665-1975",
"FirstLinePracticeLocationAddress": "7642 BELAIR RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NOTTINGHAM",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21236-4088",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-665-3093",
"PracticeLocationAddressFaxNumber": "410-665-1975",
"EnumerationDate": "12/29/2015",
"LastUpdateDate": "03/07/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAURING",
"AuthorizedOfficialFirstName": "OANH",
"AuthorizedOfficialMiddleName": "H",
"AuthorizedOfficialTitle": "MD/OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "410-665-3093",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "C0003177",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "D0061721",
"LicenseNumberStateCode": "MD",
"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."
},
{
"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."
}
]
}
}
}