{
"Npi": {
"NPI": "1922422625",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DR. EDWARD HUSTER, D.D.S.",
"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": "28 SEASPRAY W",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAGUNA NIGUEL",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92677-4888",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "707-362-3372",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "28 SEASPRAY W",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAGUNA NIGUEL",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92677-4888",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "707-362-3372",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/15/2014",
"LastUpdateDate": "02/15/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUSTER",
"AuthorizedOfficialFirstName": "EDWARD",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "GENERAL DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "949-833-3756",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "305R00000X",
"TaxonomyName": "Preferred Provider Organization",
"LicenseNumber": "54070",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}