{
"Npi": {
"NPI": "1144746157",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ORTHOPAEDIC SPECIALISTS OF DALLAS, PA",
"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": "1301 SUMMER LEE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROCKWALL",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75032-5452",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "972-771-8111",
"MailingAddressFaxNumber": "972-771-8103",
"FirstLinePracticeLocationAddress": "2300 W FM 544 STE 120",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WYLIE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75098-4937",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "972-771-8111",
"PracticeLocationAddressFaxNumber": "972-771-8103",
"EnumerationDate": "08/21/2017",
"LastUpdateDate": "08/21/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BURNEY",
"AuthorizedOfficialFirstName": "MOHAMMAD",
"AuthorizedOfficialMiddleName": "UMAR",
"AuthorizedOfficialTitle": "PHYSICIAN/OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "972-771-8111",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}