{
"Npi": {
"NPI": "1144396185",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MARTIN",
"FirstName": "IRIS",
"MiddleName": "LEE-MARTLAGE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "L.AC.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MARTLAGE",
"OtherFirstName": "IRIS",
"OtherMiddleName": "LEE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3157 AVENIDA TOPANGA",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CARLSBAD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92009-4513",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "408-220-5854",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3150 PIO PICO DR STE 101",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CARLSBAD",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92008-1951",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "408-222-0585",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/28/2006",
"LastUpdateDate": "09/28/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "171100000X",
"TaxonomyName": "Acupuncturist",
"LicenseNumber": "AC 16546",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}