{
"Npi": {
"NPI": "1881318467",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HECOX DENTISTRY, PC",
"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": "PO BOX 228",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GOTHENBURG",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "69138-0228",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "308-537-5252",
"MailingAddressFaxNumber": "308-537-5252",
"FirstLinePracticeLocationAddress": "1014 LAKE AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GOTHENBURG",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "69138-1946",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "308-537-5252",
"PracticeLocationAddressFaxNumber": "308-537-5254",
"EnumerationDate": "09/28/2022",
"LastUpdateDate": "09/28/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HECOX",
"AuthorizedOfficialFirstName": "ASHTON",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "308-529-2810",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}