{
"Npi": {
"NPI": "1164697702",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MILTON MULLER, M.D. PLASTIC SURGERY, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3720 ARROWHEAD AVE",
"SecondLineMailingAddress": "SUITE #100",
"MailingAddressCityName": "INDEPENDENCE",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "64057-2680",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "816-461-0155",
"MailingAddressFaxNumber": "816-461-5638",
"FirstLinePracticeLocationAddress": "3720 ARROWHEAD AVE",
"SecondLinePracticeLocationAddress": "SUITE #100",
"PracticeLocationAddressCityName": "INDEPENDENCE",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "64057-2680",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "816-461-0155",
"PracticeLocationAddressFaxNumber": "816-461-5638",
"EnumerationDate": "04/24/2008",
"LastUpdateDate": "07/17/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MULLER",
"AuthorizedOfficialFirstName": "MILTON",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "816-461-0155",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "R8767",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}