{
"Npi": {
"NPI": "1881826170",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PEJMAN-ZADEH",
"FirstName": "PARISA",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.D.S.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ZADEH",
"OtherFirstName": "PARISA",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "D.D.S.",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "14252 CULVER DR # A419",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "IRVINE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92604-0317",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "949-903-0672",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "935 E LA HABRA BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LA HABRA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90631-5505",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "562-697-2611",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/20/2009",
"LastUpdateDate": "03/30/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "58712",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}