{
"Npi": {
"NPI": "1225241144",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MOVSES",
"FirstName": "VAUGHN",
"MiddleName": "ANTHONY",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "D,C,",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MOVSES",
"OtherFirstName": "VAUGHN",
"OtherMiddleName": "ANTHONY",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "17100 N 67TH LANE SUITE 300",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GLENDALE",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85308",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-201-6996",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "17100 W 67TH AVE SUITE 300",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GLENDALE",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85308",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-201-6996",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/07/2007",
"LastUpdateDate": "07/25/2007",
"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": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "7747",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}