{
"Npi": {
"NPI": "1013037597",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BATEMAN GATROST CHIRO PC",
"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": "19501 E US HIGHWAY 40",
"SecondLineMailingAddress": "SUITE B",
"MailingAddressCityName": "INDEPENDENCE",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "64055-5463",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "816-795-5000",
"MailingAddressFaxNumber": "816-795-5001",
"FirstLinePracticeLocationAddress": "19501 E US HIGHWAY 40",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "INDEPENDENCE",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "64055-5463",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "816-795-5000",
"PracticeLocationAddressFaxNumber": "816-795-5001",
"EnumerationDate": "03/30/2007",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BATEMAN",
"AuthorizedOfficialFirstName": "LEONARD",
"AuthorizedOfficialMiddleName": "WAYNE",
"AuthorizedOfficialTitle": "PRESIDENT CHIROPRACTIC PHYSICIAN",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "816-795-5000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": null,
"LicenseNumberStateCode": "MO",
"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."
}
}
}
}