{
"Npi": {
"NPI": "1245514421",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PINTO CHIROPRACTIC CENTER LLC",
"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": "5191 S YOSEMITE ST STE A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREENWOOD VILLAGE",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80111-3360",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "303-771-3102",
"MailingAddressFaxNumber": "303-796-0197",
"FirstLinePracticeLocationAddress": "5191 S YOSEMITE ST STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GREENWOOD VILLAGE",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80111-3360",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "303-771-3102",
"PracticeLocationAddressFaxNumber": "303-796-0197",
"EnumerationDate": "10/05/2011",
"LastUpdateDate": "06/08/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PINTO",
"AuthorizedOfficialFirstName": "GLENN",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "CHIROPRACTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "720-485-6894",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": "2763",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}