{
"Npi": {
"NPI": "1033422837",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CRUM CHIROPRACTIC CLINIC PLLC",
"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 783",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEARCY",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72145-0783",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "501-305-3400",
"MailingAddressFaxNumber": "501-305-3405",
"FirstLinePracticeLocationAddress": "1905 W BEEBE CAPPS EXPY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SEARCY",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72143-5012",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "501-305-3400",
"PracticeLocationAddressFaxNumber": "501-305-3405",
"EnumerationDate": "07/21/2010",
"LastUpdateDate": "07/21/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CRUM",
"AuthorizedOfficialFirstName": "PARKER",
"AuthorizedOfficialMiddleName": "ALLEN",
"AuthorizedOfficialTitle": "CHIROPRACTOR/OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "501-305-3400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "1642",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}