{
"Npi": {
"NPI": "1902814908",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TADAO SUZUKI DDS INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "122 S PATTERSON AVE",
"SecondLineMailingAddress": "BLDG A STE #212",
"MailingAddressCityName": "SANTA BARBARA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93111-2055",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "805-964-5858",
"MailingAddressFaxNumber": "805-967-9776",
"FirstLinePracticeLocationAddress": "122 S PATTERSON AVE",
"SecondLinePracticeLocationAddress": "BLDG A STE #212",
"PracticeLocationAddressCityName": "SANTA BARBARA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93111-2055",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-964-5858",
"PracticeLocationAddressFaxNumber": "805-967-9776",
"EnumerationDate": "08/04/2006",
"LastUpdateDate": "07/13/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SUZUKI",
"AuthorizedOfficialFirstName": "LLOYD",
"AuthorizedOfficialMiddleName": "SHIGEMI",
"AuthorizedOfficialTitle": "DENTIST PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "805-964-5858",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "48856",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X 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."
}
}
}
}