{
"Npi": {
"NPI": "1194993253",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DOGS ARE BARKIN LIMITED",
"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": "28006 85TH DR NW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STANWOOD",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98292-5959",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-629-5024",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "120 S 15TH ST",
"SecondLinePracticeLocationAddress": "SUITE 2",
"PracticeLocationAddressCityName": "MOUNT VERNON",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98274-4500",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-424-0002",
"PracticeLocationAddressFaxNumber": "360-424-0021",
"EnumerationDate": "02/12/2008",
"LastUpdateDate": "07/03/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANDERSON",
"AuthorizedOfficialFirstName": "RANDOLPH",
"AuthorizedOfficialMiddleName": "VERITY",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "360-540-0374",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "PO455",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}