{
"Npi": {
"NPI": "1285966994",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COLUMBIA CHIROPRACTIC LLC",
"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": "8530 W GAGE BLVD",
"SecondLineMailingAddress": "SUITE B",
"MailingAddressCityName": "KENNEWICK",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "99336-7162",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "509-737-1400",
"MailingAddressFaxNumber": "509-737-1406",
"FirstLinePracticeLocationAddress": "8530 W GAGE BLVD",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "KENNEWICK",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "99336-7162",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "509-737-1400",
"PracticeLocationAddressFaxNumber": "509-737-1406",
"EnumerationDate": "02/04/2010",
"LastUpdateDate": "02/04/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARNINGS",
"AuthorizedOfficialFirstName": "RUSSELL",
"AuthorizedOfficialMiddleName": "C",
"AuthorizedOfficialTitle": "MGR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "509-737-1400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "CH00001822",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}