{
"Npi": {
"NPI": "1245782366",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CROSS KEYS ACUPUNCTURE AND HEALING ARTS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2 HAMILL RD",
"SecondLineMailingAddress": "SUITE 214 EAST QUADRANGLE",
"MailingAddressCityName": "BALTIMORE",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21210-1806",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "443-990-1165",
"MailingAddressFaxNumber": "443-708-0898",
"FirstLinePracticeLocationAddress": "1752 E LOMBARD ST",
"SecondLinePracticeLocationAddress": "#2",
"PracticeLocationAddressCityName": "BALTIMORE",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21231-1829",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "443-990-1165",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/25/2016",
"LastUpdateDate": "10/25/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OLIVA",
"AuthorizedOfficialFirstName": "KAREN",
"AuthorizedOfficialMiddleName": "S",
"AuthorizedOfficialTitle": "NCCAOM ACUPUNCTURIST",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "L.AC., M.AC.",
"AuthorizedOfficialTelephoneNumber": "443-990-1165",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "171100000X",
"TaxonomyName": "Acupuncturist",
"LicenseNumber": "U01113",
"LicenseNumberStateCode": "MD",
"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."
}
}
}
}