{
"Npi": {
"NPI": "1043456759",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CYRCA CLINIC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "303 CONGRESSIONAL BLVD",
"SecondLineMailingAddress": "STE C100",
"MailingAddressCityName": "CARMEL",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46032-5631",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-510-0225",
"MailingAddressFaxNumber": "317-575-9370",
"FirstLinePracticeLocationAddress": "2055 N KING ST",
"SecondLinePracticeLocationAddress": "SUITE 205B",
"PracticeLocationAddressCityName": "HONOLULU",
"PracticeLocationAddressStateName": "HI",
"PracticeLocationAddressPostalCode": "96819-3479",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "800-460-3443",
"PracticeLocationAddressFaxNumber": "877-444-4662",
"EnumerationDate": "12/30/2008",
"LastUpdateDate": "12/30/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FISCHMAN",
"AuthorizedOfficialFirstName": "SUZANN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CLAIMS DIRECTOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "800-510-0225",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}