{
"Npi": {
"NPI": "1093077992",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DWCNP, LLC",
"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": "5124 S WESTERN AVE",
"SecondLineMailingAddress": "SUITE 4",
"MailingAddressCityName": "SIOUX FALLS",
"MailingAddressStateName": "SD",
"MailingAddressPostalCode": "57108-5047",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "605-274-3898",
"MailingAddressFaxNumber": "605-274-3899",
"FirstLinePracticeLocationAddress": "5124 S WESTERN AVE",
"SecondLinePracticeLocationAddress": "SUITE 4",
"PracticeLocationAddressCityName": "SIOUX FALLS",
"PracticeLocationAddressStateName": "SD",
"PracticeLocationAddressPostalCode": "57108-5047",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "605-274-3898",
"PracticeLocationAddressFaxNumber": "605-274-3899",
"EnumerationDate": "06/15/2012",
"LastUpdateDate": "06/15/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COMBS",
"AuthorizedOfficialFirstName": "DENTON",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CNP",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "605-231-0403",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": "SD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}