{
"Npi": {
"NPI": "1063607414",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DOUGLAS M. LAFLAN, M.D., P.C.",
"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": "804 CHASE AVENUE",
"SecondLineMailingAddress": "PO BOX 110",
"MailingAddressCityName": "CREIGHTON",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68729-0110",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-358-5335",
"MailingAddressFaxNumber": "402-358-3598",
"FirstLinePracticeLocationAddress": "804 CHASE AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CREIGHTON",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "68729-2893",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-358-5335",
"PracticeLocationAddressFaxNumber": "402-358-3598",
"EnumerationDate": "09/10/2007",
"LastUpdateDate": "07/09/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAFLAN",
"AuthorizedOfficialFirstName": "DOUGLAS",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "402-358-5335",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "12187",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}