{
"Npi": {
"NPI": "1164625000",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DIXON",
"FirstName": "MARTIN",
"MiddleName": "FRANCIS",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2706 N NEWTON STEWART RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ECKERTY",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47116-9514",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-685-2420",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "202 CHERRY ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PAOLI",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47454-1108",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-723-0150",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/07/2007",
"LastUpdateDate": "07/08/2007",
"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": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "01034005",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}