{
"Npi": {
"NPI": "1255784393",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KMZ MEDICAL SOLUTIONS, PLLC",
"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": "800 W 18TH ST",
"SecondLineMailingAddress": "STE 100",
"MailingAddressCityName": "EDMOND",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73013-3758",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-726-2727",
"MailingAddressFaxNumber": "405-216-5724",
"FirstLinePracticeLocationAddress": "800 W. ST.",
"SecondLinePracticeLocationAddress": "STE 102-C",
"PracticeLocationAddressCityName": "EDMOND",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73013-7920",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-210-2202",
"PracticeLocationAddressFaxNumber": "405-216-5724",
"EnumerationDate": "07/13/2016",
"LastUpdateDate": "09/12/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCMAHAN",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "ZANN",
"AuthorizedOfficialTitle": "FAMILY MEDICINE",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "405-726-2727",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM1300X",
"TaxonomyName": "Multi-Specialty Clinic/Center",
"LicenseNumber": "OK24591",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}