{
"Npi": {
"NPI": "1902177173",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LEVITTOWN FAMILY DENTAL ASSOCIATES, 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": "359 INDIAN CREEK DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEVITTOWN",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19057-2712",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-945-5588",
"MailingAddressFaxNumber": "215-945-1308",
"FirstLinePracticeLocationAddress": "359 INDIAN CREEK DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LEVITTOWN",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19057-2712",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-945-5588",
"PracticeLocationAddressFaxNumber": "215-945-1308",
"EnumerationDate": "01/19/2012",
"LastUpdateDate": "01/19/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ABRAMS",
"AuthorizedOfficialFirstName": "ERIC",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MANAGING MEMBER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "215-945-5588",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "DS036382",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}