{
"Npi": {
"NPI": "1922282532",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "UNIVERSITY OF CALIFORNIA SAN FRANCISCO",
"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": "513 PARNASSUS AVE.",
"SecondLineMailingAddress": "ROOM S-704. P.O. BOX 0422",
"MailingAddressCityName": "SAN FRANCISCO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94143-0422",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "415-476-5063",
"MailingAddressFaxNumber": "415-476-4204",
"FirstLinePracticeLocationAddress": "707 PARNASSUS AVE.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAN FRANCISCO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94143",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "415-476-3276",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/19/2007",
"LastUpdateDate": "12/19/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DENBESTEN",
"AuthorizedOfficialFirstName": "PAM",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PROFESSOR/PEDIATRIC DENTISTRY CHAIR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.D.S., M.S.",
"AuthorizedOfficialTelephoneNumber": "415-502-7828",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282NC2000X",
"TaxonomyName": "Children's Hospital",
"LicenseNumber": "56084",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}