{
"Npi": {
"NPI": "1154522670",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KALMAT",
"FirstName": "CHANDRASHEKAR",
"MiddleName": "JAYARAJ",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KALMAT",
"OtherFirstName": "CHANDRASHEKAR",
"OtherMiddleName": "JAYARAJ",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "M.D.",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "PO BOX 6765",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GOODYEAR",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85338-0630",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "623-321-5083",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "740 N ESTRELLA PKWY STE 100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GOODYEAR",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85338-9357",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "623-321-5079",
"PracticeLocationAddressFaxNumber": "623-321-5083",
"EnumerationDate": "05/31/2007",
"LastUpdateDate": "06/09/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "207LP2900X",
"TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
"LicenseNumber": "D0070386",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207LP2900X",
"TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
"LicenseNumber": "MD038541",
"LicenseNumberStateCode": "DC",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207LP2900X",
"TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
"LicenseNumber": "51320",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}