{
"Npi": {
"NPI": "1275729907",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PREMIER FOOT & ANKLE CENTER, PC",
"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": "7481 RIGHT FLANK RD",
"SecondLineMailingAddress": "SUITE 110",
"MailingAddressCityName": "MECHANICSVILLE",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23116-3838",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "804-746-9797",
"MailingAddressFaxNumber": "804-746-9794",
"FirstLinePracticeLocationAddress": "7481 RIGHT FLANK RD",
"SecondLinePracticeLocationAddress": "SUITE 110",
"PracticeLocationAddressCityName": "MECHANICSVILLE",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23116-3838",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "804-746-9797",
"PracticeLocationAddressFaxNumber": "804-746-9794",
"EnumerationDate": "09/17/2007",
"LastUpdateDate": "01/23/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WHEELER",
"AuthorizedOfficialFirstName": "DARLENE",
"AuthorizedOfficialMiddleName": "FOOTE",
"AuthorizedOfficialTitle": "OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "804-746-9797",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "0103300807",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}