{
"Npi": {
"NPI": "1992895833",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALL SMILES DENTAL CENTER INC",
"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": "PO BOX 421",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BAKER",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70704-0421",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "225-775-3552",
"MailingAddressFaxNumber": "225-775-3569",
"FirstLinePracticeLocationAddress": "12841 PLANK ROAD",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "BAKER",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70714",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "225-775-3552",
"PracticeLocationAddressFaxNumber": "225-775-3569",
"EnumerationDate": "10/13/2006",
"LastUpdateDate": "11/18/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FISHER RANEL",
"AuthorizedOfficialFirstName": "JOAN",
"AuthorizedOfficialMiddleName": "T",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "225-775-3552",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "4877",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}